Title: Two Different Ways of Anesthesia for Elderly Patients in Hip Replacement
Abstract: Objective To provide reference for choice of anesthesia ways in clinic by comparing the effects of combined spinal-epidural anesthesia and general anesthesia with tracheal intubation on elderly patients in hip replacement.Methods Forty-two ASA I~III patients who need to received hip replacement were randomly divided into two groups:combined spinal-epidural anesthesia group(A group,n=21) and general anesthesia with tracheal intubation group(group B,n=21).The anaesthetic effect,complications,HR,SBP,and DBP of patients during and after operation in the two groups were recorded.Results Patients in both of the two groups got perfect anaesthetic effects,and there was no significant difference(P0.05).Two patients in A group changed to general anesthesia due to failure of anaesthetic puncture.SBP and DBP of patients during operation in the two groups were lower than before anesthesia(P 0.01).Hypotension(blood pressure decreased more than 30% of the basic values)was found in 6 patients(30%)during operation in A group,12 patients(60%)after induction of anesthesia in B group.Hypertention was found in 4 patients(20%)when removed the tracheal intubation in B group.All patients werte followed up for 3 days in the two groups and no complications were found.Conclusions Both of the two ways of anesthesia can meet the demand of operation.The choice of anesthesia ways should be based on preoperative evaluation,monitoring in operation,and depends on different patients and conditions.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
Access and Citation
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot