Labels

Thursday, January 06, 2011

Does regional anaesthesia improve outcome after total hip arthroplasty? A systematic review — Br J Anaesth

Does regional anaesthesia improve outcome after total hip arthroplasty? A systematic review — Br J Anaesth: "There is insufficient evidence from RCTs alone to conclude if anaesthetic technique influenced mortality, cardiovascular morbidity, or the incidence of DVT and PE when using thromboprophylaxis. Blood loss may be reduced in patients receiving RA rather than GA for THA. Our review suggests that there is no difference in duration of surgery in patients who receive GA or RA. Compared with systemic analgesia, regional analgesia can reduce postoperative pain, morphine consumption, and nausea and vomiting. Length of stay is not reduced and rehabilitation does not appear to be facilitated by RA or analgesia for THA."