Tags

Type your tag names separated by a space and hit enter

[The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty].
Agri. 2009 Apr; 21(2):62-8.AGRI

Abstract

OBJECTIVES

In this study, the effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in patients undergoing total hip arthroplasty (THA) under general anesthesia was documented.

METHODS

The study included 45 patients undergoing THA under general anesthesia. Group GA (n=15) received general anesthesia, Group GA+E (n=15) received general anesthesia + epidural catheter and Group GA+LPB (n=15) received general anesthesia + lumbar plexus catheterization. Intraoperative blood transfusion (IOBT) requirements and intraoperative bleeding (IOB) were documented. Postoperative hemoglobin, hematocrit and total blood loss through the drains were also documented. All patients received patient-controlled analgesia through the IV route. Time to first analgesic requirement (TFAR), total IV morphine consumption (MORPH 24) and 24-hour visual analogue scale (VAS) values were evaluated.

RESULTS

TFAR was the lowest (8.7+/-4.0 min.) in the GA group and highest (42.7+/-14.4 min) in the GA+LPB group, and the GA+E group had lower values than the GA+LPB (32.3+/-16.0 min) group (p<0.05). IOBT, IOB, and MORPH 24 average values were the lowest in the GA+LPB group and highest in the GA group, with GA+E in between (p<0.05). Postoperative first VAS values were significantly different between the GA group and the others (p<0.001). There was also a significant difference between the GA group and the others regarding postoperative average Hb values (p<0.02).

CONCLUSION

THA using either regional technique provides less blood loss and better analgesia. We will consider LPB in our future cases in view of the lower intraoperative blood loss and better analgesia.

Authors+Show Affiliations

2nd Department of Anesthesiology and Reanimation, Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

tur

PubMed ID

19562534

Citation

Utebey, Gülten, et al. "[The Effects of Lumbar Plexus Block and Epidural Block On Total Blood Loss and Postoperative Analgesia in Total Hip Arthroplasty]." Agri : Agri (Algoloji) Dernegi'nin Yayin Organidir = the Journal of the Turkish Society of Algology, vol. 21, no. 2, 2009, pp. 62-8.
Utebey G, Akkaya T, Alptekin A, et al. [The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty]. Agri. 2009;21(2):62-8.
Utebey, G., Akkaya, T., Alptekin, A., Sayin, M., Gümüş, H., & Ateş, Y. (2009). [The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty]. Agri : Agri (Algoloji) Dernegi'nin Yayin Organidir = the Journal of the Turkish Society of Algology, 21(2), 62-8.
Utebey G, et al. [The Effects of Lumbar Plexus Block and Epidural Block On Total Blood Loss and Postoperative Analgesia in Total Hip Arthroplasty]. Agri. 2009;21(2):62-8. PubMed PMID: 19562534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty]. AU - Utebey,Gülten, AU - Akkaya,Taylan, AU - Alptekin,Alp, AU - Sayin,Murat, AU - Gümüş,Haluk, AU - Ateş,Yalim, PY - 2009/6/30/entrez PY - 2009/6/30/pubmed PY - 2009/9/26/medline SP - 62 EP - 8 JF - Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology JO - Agri VL - 21 IS - 2 N2 - OBJECTIVES: In this study, the effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in patients undergoing total hip arthroplasty (THA) under general anesthesia was documented. METHODS: The study included 45 patients undergoing THA under general anesthesia. Group GA (n=15) received general anesthesia, Group GA+E (n=15) received general anesthesia + epidural catheter and Group GA+LPB (n=15) received general anesthesia + lumbar plexus catheterization. Intraoperative blood transfusion (IOBT) requirements and intraoperative bleeding (IOB) were documented. Postoperative hemoglobin, hematocrit and total blood loss through the drains were also documented. All patients received patient-controlled analgesia through the IV route. Time to first analgesic requirement (TFAR), total IV morphine consumption (MORPH 24) and 24-hour visual analogue scale (VAS) values were evaluated. RESULTS: TFAR was the lowest (8.7+/-4.0 min.) in the GA group and highest (42.7+/-14.4 min) in the GA+LPB group, and the GA+E group had lower values than the GA+LPB (32.3+/-16.0 min) group (p<0.05). IOBT, IOB, and MORPH 24 average values were the lowest in the GA+LPB group and highest in the GA group, with GA+E in between (p<0.05). Postoperative first VAS values were significantly different between the GA group and the others (p<0.001). There was also a significant difference between the GA group and the others regarding postoperative average Hb values (p<0.02). CONCLUSION: THA using either regional technique provides less blood loss and better analgesia. We will consider LPB in our future cases in view of the lower intraoperative blood loss and better analgesia. SN - 1300-0012 UR - https://www.unboundmedicine.com/medline/citation/19562534/[The_effects_of_lumbar_plexus_block_and_epidural_block_on_total_blood_loss_and_postoperative_analgesia_in_total_hip_arthroplasty]_ L2 - http://www.journalagent.com/pubmed/linkout.asp?ISSN=1300-0012&amp;PMID=19562534 DB - PRIME DP - Unbound Medicine ER -