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- W2375012971 abstract "Objective To compare the influence of general anesthesia and isobaric spinal anesthesia on postoperative complications in elderly patients with the total hip arthroplasty. Methods Eighty old patients undergoing primary and unilateral total hip arthroplasty were randomly assigned to two groups: isobaric spinal anesthesia group(group A,n = 40,subarachnoid block with 15mg of 0. 5%bupivacaine and 50ug of fentanyl),general anesthesia group(group B,n = 40). The pulmonary complications(pulmonary infection,pulmonary edema,pulmonary atelectasis),cardiovascular complications(myocardial infarction,angina,heart failure) and the changes of cognitive function(postoperative cognitive dysfunction,POCD) were recorded three days after the surgery. Results In 80 patients,there were four patients(10%) with pulmonary complications in group A three days after surgery,9 cases(22. 5%) in group B,which were significantly higher(P = 0. 038). There were one patient(2. 5%) with cardiovascular complications in group A 3 days after surgery,and five cases(12. 5%) in group B,which were significantly higher(P 0. 05). There were 11 patients(27. 5%) with POCD in group A three days after surgery,21 cases(52. 5%) in group B,which were significantly higher(P 0. 05). Conclusion Comparing with general anesthesia,the isobaric spinal anesthesia(15mg of 0. 5% bupivacaine and 50ug of fentanyl) may be a safer and better option with lower incidence of complications for elderly patients undergoing total hip arthroplasty." @default.
- W2375012971 created "2016-06-24" @default.
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- W2375012971 date "2014-01-01" @default.
- W2375012971 modified "2023-09-23" @default.
- W2375012971 title "The comparison of complications between general anesthesia and isobaric spinal anesthesia for total hip arthroplasty in elderly patients" @default.
- W2375012971 hasPublicationYear "2014" @default.
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