000			03459nam a22003257a 4500
999			_c12031 _d12031
001			ANES 2019 0007
003			PILC
005			20240720153217.0
008			211103b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aANES 2019 0007
245			_aA 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 / _cPaolo Angelo C. Rosales, Charlene Rose Syjuco and Lylah D. Reyes.
260			_aFairview, Quezon City: _bDepartment of Anesthesiology, FEU-NRMF, _c2019.
300			_a32 pages: _btables; _c(in folder) _ewith flash drive (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes appendices and bibliographical references.
520			_aAbstract: 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
521			_aRESDA
650			_ahip arthroplasty
650			_aregional anesthesia
650			_ageneral anesthesia
650			_aGA
700			_aRosales, Paolo Angelo C., MD. _eprincipal investigator
700			_aSyjuco, Charlene Rose, MD. _eco-author
700			_aReyes, Lylah D., MD. _eco-author
942			_2lcc _cRU