TY  - BOOK
AU  - Rosales, Paolo Angelo C., MD.
AU  - Syjuco, Charlene Rose, MD.
AU  - Reyes, Lylah D., MD.
TI  - A Comparative study on the effects of regional versus general anesthesia on outcomes after hip arthroplasty among patients admitted at a tertiary Medical Center from 2014 to 2018 / 
AV  - ANES 2019 0007 
PY  - 2019///
CY  - Fairview, Quezon City
PB  - Department of Anesthesiology, FEU-NRMF
KW  - hip arthroplasty
KW  - regional anesthesia
KW  - general anesthesia
KW  - GA
N1  - Includes appendices and bibliographical references; RESDA
N2  - Abstract:  Hip arthroplasty is a conventionalsurgery aimed at in patients with hip arthritis and hip fracture. The ideal anesthetic technique for hip arthroplasty remains debated since traditionally, general anesthesia has been the usual anesthesia for major hip surgery however, this procedure is now commonly being performed under regional anesthesia because of its relative benefits as evidenced by several studies.  To compare the  perioperative and postoperative outcomes among patients who received regional versus general anesthesia for hip arthroplasty at a tertiary medical center from 2014 to 2018.  Included were the charts of 241 patients who underwent hip arthroplasty aged 22 to 99 years old, majority are females (85.06%). Those who received regional anesthesia were 105 (43.57%) while 136 (56.43%) received general anesthesia. Most patients who underwent regional anesthesia were males while more females had general anesthesia. The BMI of patients were 15.14 to 40.67 where majority had a normal BMI (55.60%). Most were overweight and obese in the general anesthesia group. Majority had an ASA of (89.21%). Most have hypertension (33.61%)  followed by a combination of hypertension and diabetes mellitus (18.26%). There were more cases with 2 co-morbidities in the regional anesthesia group while a greater proportion of patients had 3 or more morbidities in the general anesthesia group.   The mean blood loss is 383.44 ml, mean length of the surgery is 140 minutes, and the mean length of hospital stay is 6.93 days. Majority did not have any complication (78.84%). Those who underwent general anesthesia has a higher occurrence of complications. The most common perioperative complication is anemia (8.30% ), second is pulmonary congestion (4.15%), followed by pneumonia (3.32%). There were no statistically significant differences noted between the two treatment arms with regards to estimated blood loss, length of surgery and hospital stay, as well as complications.  Regional anesthesia has lesser blood loss, length of surgery and  hospital stay. With more favorable outcomes associated with regional anesthesia, it could be recommended as the anesthetic technique in hip arthroplasty
ER  -