Comparison of patient satisfaction after general and regional anaesthesia in total hip and knee replacement surgery

Česká verzia

Authors: Fořtová Magdaléna; Šnajdárková Kateřina; Štorek Ludvík; Melicharová Olga; Hájková Tereza; Skoupá Markéta
Authors place of work: Anesteziologicko-resuscitační oddělení, Pardubická krajská nemocnice, a. s.
Published in the journal: Anest. intenziv. Med., 21, 2010, č. 6, s. 311-316
Category: Anesteziologie - Původní práce

Summary

Objective:
The aim of the study was comparing patient satisfaction and pain after general vs. regional anaesthesia in total hip and knee replacement surgery.

Design:
A prospective, comparative study.

Setting:
Department of Anesthesiology and Resuscitation, Regional Hospital.

Materials and methods:
All the patients who underwent total hip or knee replacement in general (GA) vs. combined epidural/spinal anaesthesia (EA/SA) in a one-year period were included in the study. The patients evaluated their satisfaction and pain relief at 6, 24 and 48 hours after surgery.

Results:
We evaluated 127 patients after total hip or knee replacement under general vs. epidural/ spinal anaesthesia. Patient satisfaction was significantly higher in the EA/SA vs. GA group at 6, 24 and 48 hours. Pain was significantly lower in the EA/SA vs. GA group at 6 and 24 hours. At 48 hours there were no differences between the two groups.

Conclusion:
We confirmed the hypothesis of higher patient satisfaction and better analgesia after EA/SA compared with general anaesthesia.

Keywords:
general – regional anaesthesia – total hip replacement – total knee replacement – satisfaction – analgesia

Zdroje

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