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:2/10/2016)... ... February 10, 2016 , ... A national ... Congress and Expo event March 9-11, 2016. Hosted by Ohio's Bureau of Worker's ... , As the longest running and largest worker's compensation event in Ohio, organizers ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... UNF Drive, Jacksonville, FL 32224, February 26th: Amateur & Professional Divisions - ... - Time: 7:00pm – 10:00pm | Ticket Prices $30, Social Media: ...
(Date:2/10/2016)... ... February 10, 2016 , ... Anxiety of older Americans over ... of Medicare Part D a decade ago, according to The Senior Citizens League ... on how they are coping with rapidly rising costs. “The implications are chilling, ...
(Date:2/10/2016)... (PRWEB) , ... February 09, 2016 , ... According to ... witnessing a dramatic increase in the number of patients under the age of 30. ... they are seeing in their offices, and may indicate an overall shift in the ...
(Date:2/9/2016)... Las Vegas, Nevada (PRWEB) , ... February 09, ... ... is now providing treatment to Medicaid beneficiaries who are diagnosed with autism spectrum ... state of Nevada. Autism treatment using applied behavior analysis (ABA) is key ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... 2016  Astellas Pharma Inc. (TSE: 4503, President and ... it has successfully completed, through its indirect wholly-owned subsidiary ... all issued and outstanding shares of common stock of ... Paul Wotton , "Ocata") for a price of US$8.50 ... Offer"). Astellas commenced the Tender Offer on November 19, ...
(Date:2/10/2016)... Tenn. , Feb. 10, 2016 /PRNewswire/ ... of Nursing received an in-kind gift ... of a VeinViewer® Vision vein finder for ... will help students as they learn how ... combining technology with traditional technique. ...
(Date:2/10/2016)... MOUNTAIN VIEW, Calif. , Feb. 10, ... result of a synergistic confluence of various ... unique value propositions, previously unavailable. These opportunities ... convergence and convergence, in turn, drives the ... Today,s entrepreneurial scenario is characterized by technology ...
Breaking Medicine Technology: