A systemic review of postoperative complications following arthroplasty performed under spinal versus general anesthesia
10.3760/cma.j.issn.0254-1416.2010.04.007
- VernacularTitle:关节置换术患者椎管内麻醉和全身麻醉术后并发症发生情况比较的Meta分析
- Author:
Yuhua GAO
;
Tao MA
;
Weizhong SHI
- Publication Type:Journal Article
- Keywords:
Anesthesia,local;
Anesthesia,general;
Meta-analysis;
Arthroplasty,replacement
- From:
Chinese Journal of Anesthesiology
2010;30(4):406-408
- CountryChina
- Language:Chinese
-
Abstract:
To compare the effectiveness and safety of spinal versus general anesthesia for arthroplasty with respect to deep vein thrombosis(DVT),pulmonary embolism (PE) and epidural hematoma.Randomized controlled trials involving spinal and general anesthesia for arthroplasty were searched.Quality assessment were analyzed according to the Cochrane Collaboration's rule.A total of 12 trials involving 1023 participants met the inclusion criteria,Meta-analyses showed that spinal anesthesia may reduce the incidence of DVT or PE after arthroplagty without anticoagulant.There is no difference in the incidence of DVT and PE when anticoagulant is used.Whether anticoagulant was used or not,no epidural hematoma was observed after using the two anesthesia methods.
