Spinal and general anaesthesia in total hip replacement: frequency of deep vein thrombosis
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Subarachnoid block (SAB) or general anaesthesia (GA) was induced in patients undergoing total hip replacement and no morbidity attributable to SAB or to the associated arterial hypotension was detected.Abstract:
SUMMARY Subarachnoid block (SAB) or general anaesthesia (GA) was induced in 85 patients undergoing total hup replacement. The frequency of deep vein thrombosis (DVT), assessed by fibrinogen uptake studies and venography, was 29% in those patients receiving SAB and 54% in the GA group. Total blood loss (intraoperative and post-operative wound suction dmage) in SAB group was 66% and total transfusion volume 52% of that of GA group. No morbidity armbutable to SAB or to the associated artenal hypotension was detected.read more
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Antithrombotic therapy for venous thromboembolic disease.
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Thromboembolism after total hip replacement: role of epidural and general anesthesia.
TL;DR: Epidural analgesia prolonged into the postoperative period, in addition to other appropriate thromboprophylactic measures, should be of value in patients undergoing operations associated with a high risk of thromboembolic complications.
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A comparison of neuraxial block versus general anesthesia for elective total hip replacement : A meta-analysis
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A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis.
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References
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Journal ArticleDOI
Failure of low-dose heparin to prevent deep-vein thrombosis after hip-replacement arthroplasty.
W.G.J. Hampson,H.Keith Lucas,F.C. Harris,P.H. Roberts,I.W. Mccall,P.C. Jackson,N.L. Powell,G.E. Staddon +7 more
TL;DR: It is concluded that low-dose heparin has no significant effect on either the frequency or extent of D.V.T. after total-hip-replacement arthroplasty, but appears to delay its onset.
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Femoral vein thrombosis and total hip replacement.
TL;DR: It is my clinical impression that DVT is rare in rheumatoid disease and aspirin is well known to influence the clotting mechanism, and it is important that that information should be made available.
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The use of spinal anesthesia for total hip-replacement arthroplasty
TL;DR: It is concluded from this study that spinal anesthesia is to be preferred over general anesthesia in patients undergoing total hip replacement.
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Prevention of deep-vein thrombosis by low-dose heparin in patients undergoing total hip replacement
TL;DR: Blood-loss during operation and afterwards was not increased in the heparin-treated patients and venous thrombosis indicated by the 125 I-fibrinogen test and confirmed venographically was half in the control group of thirty-two patients and 11% in the treated group of twenty-seven patients.