CORR Insights®:对于接受翻修型 THA 手术的患者,脊柱麻醉是否比全身麻醉更安全?ACS-NSQIP 数据库分析。

Charles N Cornell
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摘要

在过去的十年中,关节置换专家一直致力于提高全髋关节和全膝关节置换术的安全性和可预测性。麻醉类型的选择在这一过程中起着重要作用,大量证据表明,与全身麻醉相比,轴向麻醉与较低的死亡风险、血栓栓塞事件、输血使用和延长住院时间有关[1-3]。所有类别的患者,从合并症中判断的低风险患者到高风险患者,均可实现轴向麻醉的益处[1-3]。在目前的研究中,Wilson及其同事[5]使用了美国外科医师学会国家手术质量改进计划数据库来确定脊髓麻醉相关的益处是否也可以在翻修THA中得到证实。作者发现,脊髓麻醉与死亡率、再入院、再手术、血栓栓塞事件、输血发生率、计划外插管或插管失败风险的降低有关。
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CORR Insights®: Is Spinal Anesthesia Safer than General Anesthesia for Patients Undergoing Revision THA? Analysis of the ACS-NSQIP Database.
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