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:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... that was developed to enhance the health of felines. The formula is all-natural and ... main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are ...
(Date:6/25/2016)... Austin, TX (PRWEB) , ... June 25, 2016 , ... ... Fellow of the American College of Mohs Surgery and to Dr. Russell Peckham for ... popular and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/24/2016)... ... ... A recent article published June 14 on E Online details ... to state that individuals are now more comfortable seeking to undergo not only the ... and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) notes ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... and Scientific Sessions in Dallas that it will receive two significant new grants ... grants came as PHA marked its 25th anniversary by recognizing patients, medical professionals ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
(Date:6/24/2016)... CAMBRIDGE, Mass. , June 24, 2016 /PRNewswire/ ... the Spaulding Rehabilitation Network,s Dean Center for ... of Physical Medicine and Rehabilitation, MIT Hacking Medicine, ... Center for Innovation, today announced the five finalists ... Hackathon for Lyme disease.  More than 100 scientists, ...
(Date:6/24/2016)... Research and Markets has ... 2015-2025: Applications, Technologies, Forecasts" report to their ... Electronics, Smart Skin, Structural Health Monitoring, Composite Smart ... electronics involves electronic and/or electrical components and circuits ... structures such as vehicle bodies or conformally placed ...
Breaking Medicine Technology: