Navigation Links
Anesthesia's Role in Hip, Knee Replacement Infections Studied
Date:7/28/2010

WEDNESDAY, July 28 (HealthDay News) -- Patients are less likely to develop infections at the sites of total hip or knee replacements if they undergo epidural or spinal anesthesia instead of general anesthesia, a new study reports.

And while the risk of infection is small, the potential for problems is significant.

"However, these infections are extremely serious and difficult to treat because of the implanted hardware. Sometimes the entire joint needs to be removed," said Dr. Daniel Sessler, of the department of outcomes research at the Anesthesiology Institute at The Cleveland Clinic, who wrote a commentary accompanying the study published in the August issue of the journal Anesthesiology.

In the study, lead author Dr. Chuen-Chau Chang and colleagues at Taipei Medical University examined a database of 3,081 patients in Taiwan who'd had total hip or knee replacement between 2002 and 2006. They found that 56 patients -- 1.8 percent -- developed an infection at the surgery site within 30 days of the procedure. Of that group, 2.8 percent had had general anesthesia, while 1.2 percent had had epidural or spinal anesthesia.

After adjusting their statistics so they wouldn't be thrown off by factors such as the age and sex of the patients, the researchers found that those who had general anesthesia instead of epidural or spinal anesthesia were more than twice as likely to have developed a surgical site infection.

"Many anesthetics used in general anesthesia have been shown to compromise immunity responses," Chang said in a news release from the American Society of Anesthesiologists.

Sessler, in an interview, said the major message of the study is that "spinal or epidural anesthesia reduces the risk of a very serious complication. It would thus be a mistake for patients to insist on general anesthesia if their anesthesiologist suggests a regional approach."

Patients who receive regional anesthesia are often sedated so they're not awake during the procedure, he added.

More information

The U.S. National Library of Medicine has more on anesthesia.

-- Randy Dotinga

SOURCES: Daniel Sessler, M.D., chair, department of outcomes research, Anesthesiology Institute, The Cleveland Clinic, Ohio; American Society of Anesthesiologists, news release, July 26, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Many knee and hip replacement patients experience weight decrease after surgery
2. Kaiser Permanente demonstrates success of large-scale total joint replacement registry
3. Elderly patients in need of heart valve replacements have alternative to surgery
4. Arizona Surgeon Performs Hip Replacement Surgery with Fast Recovery, Less Pain
5. Breast density change linked to cancer development in WHI hormone replacement study
6. Scientists Grow Replacement Blood Vessels From Stem Cells
7. Triple Heart Valve Replacement Saves Local Women's Life at Portneuf Medical Center: Woman Gets a Second Chance at Life After Taking Fen-Phen
8. Device to revolutionize preventive blood clot care after joint replacement surgery
9. Leading Orthopaedic Surgeon and Regenerative Medical Authority Dr. Thomas A. Einhorn Advances Adult Stem Cell Therapy To Eliminate Hip Replacement Surgery
10. Hormone Replacement Might Relieve Arthritis
11. Hormone replacement in joint fluid has potential regenerative effect
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Anesthesia's Role in Hip, Knee Replacement Infections Studied
(Date:6/25/2016)... ... June 25, 2016 , ... ... issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the ... several important health care topics including advance care planning, healthcare costs and patient ...
(Date:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June ... , brings up a new, often overlooked aspect of head lice: the parasite’s ability to ... is not a common occurrence, but a necessary one in the event that lice have ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the largest ... as the Medical Director of its new Mesquite-Samuell Farm facility. , “We are ... Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 Research and Markets has ... Companion Diagnostic Tests" report to their offering. ... Diagnostics The World Market for Companion Diagnostics ... diagnostics. Market analysis in the report includes the following: ... Vitro Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: