Anaesthetic care of patients undergoing primary hip and knee arthroplasty: evolution of views

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Operations of total hip arthroplasty (THA) and knee joints (TKA) are among the most frequently performed surgical interventions. At the same time, there is still no consensus regarding the choice of the optimal method of anesthesia for these operations. The review analyzes the approaches to the anesthetic provision of THA and TKA in different countries and different clinics of the same country. The tendencies of a gradual increase in the share of neuraxial anesthesia techniques in the structure of anesthesia for THA and TKA are presented. Based on a number of large population studies, an analysis of the effect of the anesthesia method on the early postoperative period and the results of surgical treatment in general is given. The positive role of epidural and spinal anesthesia, in comparison with general anesthesia, in the complex of anesthetic management of operations on the joints of the lower extremities has been shown.

About the authors

Alexei M. Ovechkin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699

MD, PhD, DSc, professor of the Department of Anesthesiology and Reanimatology

Russian Federation, B.Pirogovskaya 2, str.4, Moscow, 119146

M. E. Politov

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0003-0623-4927
Russian Federation, 119146, Moscow

N. V. Panov

City Clinical Hospital No.67 named after L.A. Vorokhobov

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-1064-733X
Russian Federation, 123423, Moscow

S. V. Sokologorsky

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0001-6805-9744
Russian Federation, 119146, Moscow

References

  1. Basques B., Toy J., Bohl D., Golinvaux N. and Grauer J. General compared with spinal anesthesia for total hip arthroplasty. J. Bone Joint Surg. Am. 2015;97:455-61.
  2. Fleischut P., Eskreis-Winkler J., Gaber-Baylis L., Giambrone G., Faggiani S., Dutton R. Variability in anesthetic care for total knee arthroplasty: an analysis from the anesthesia quality institute. Am. J. Med. Qual. 2015;30(2):172-179.
  3. Wong P., McVicar J., Nelligan K., Bleackley J., McCartney C. Factors influencing the choice of anesthetic technique for primary hip and knee arthroplasty. Pain Manag. 2016;6(3):297-311.
  4. Kopp S., Børglum J., Buvanendran A., Horlocker T., Ilfeld B.D., Memtsoudis S., Neal J., Rawal N., Wegener J. Anesthesia and analgesia practice pathway options for total knee arthroplasty. Reg. Anesth. Pain Med. 2017;42(6):683-97.
  5. Kurtz S., Ong K., Schmier J., Mowat F., Saleh K., Dybvik E., Garellick G., Havelin L., Furnes O., Malchau H., Lau E. Future clinical and economic impact of revision total hip and knee arthroplasty. J.Bone Joint Surg. Am. 2007;89(suppl 3):144-51.
  6. Rashiq S., Finegan B. The effect of spinal anesthesia on blood transfusion rate in total joint arthroplasty. Can. J. Surg. 2006;49(6);391-396.
  7. Griesdale D., Neufeld J., Dhillon D. et al. Risk factors for urinary retention after hip or knee replacement: a cohort study. Can. J. Anaesth. 2011;58(12):1097-104.
  8. Pedersen A., Mehnert F., Sorensen H., Emmeluth C., Overgaard S., Johnsen S. The risk of venous thromboembolism, myocardial infarction, stroke, major bleeding and death in patients undergoing total hip and knee replacement: a 15-year retrospective cohort study of routine clinical practice. Bone Joint J. 2014;96-B(4):479-85.
  9. Bouaziz H., Bondаr A., Jochum D. et al. Regional anaesthesia practice for total knee arthroplasty: French national survey – 2008. Ann. Fr. Anesth. Reanim. 2010;29(6):440-51.
  10. Zhu M., Chen J., Tan Y. et al. Effects of anesthetic technique on blood loss and complications after simultaneous bilateral total knee arthroplasty. Arch. Orthop. Trauma Surg. 2015;135(4):565-71.
  11. Chang C., Lin H., Lin H., Lin H. Anesthetic management and surgical site infections in total hip or knee replacement: a population-based study. Anesthesiology. 2010;113(2): 279-84.
  12. Park J., Roasouli M., Moprtazavi J., Tokarski A., Maltenfort M., Parvizi J. Predictors of perioperative blood loss in total joint arthroplasty. J. Bone Joint Surg. Am. 2013;95(19):1777-83.
  13. Jacob A., Mantilla C., Sviggum H., Schroeder D., Pagnano M., Hebl J. Perioperative nerve injury after total hip arthroplasty: regional anesthesia risk during a 20-year cohort study. Anesthesiology. 2011;115(6):1172-8.
  14. Liu S., Buvanendran A., Rathmell J. et al. Predictors for moderate to severe acute postoperative pain after total hip and knee replacement. Int. Orthop. 2012;36(11):2261-7.
  15. Matthey P., Finegan B., Finucane B. The public’s fears about and perceptions of regional anesthesia. Reg. Anesth. Pain Med. 2004;29(2):96-101.
  16. De Andres J., Valia J., Gil A., Bolinches R. Predictors of patient satisfaction with regional anesthesia. Reg. Anesth. 1995;20(6):498-505.
  17. Berry D., Bozic K. Current practice patterns in primary hip and knee arthroplasty among members of the American Association of Hip and Knee Surgeons. J. Arthroplasty. 2010;25(6 Suppl.):2-4.
  18. Peters C.L., Shirley B., Erickson J. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. J. Arthroplasty. 2006;21(6 Suppl. 2):132–8.
  19. Memtsoudis S., Sun X., Chiu Y-L. et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology. 2013;118(5):1046-58.
  20. Crowley C., Dowsey M., Quinn C., Barrington M., Choong P. Impact of regional and local anaesthetics on length of stay in knee arthroplasty. ANZ J. Surg. 2012;82:207-14.
  21. Perlas A., Chan V., Beattie S. Anesthesia technique and mortality after total hip or knee arthroplasty: a retrospective, propensity score-matched cohort study. Anesthesiology. 2016;125(4):724-31.
  22. Guler G., Atıcı Ş., Kurt E., Karaca S., Yılmazlar A. Current approaches in hip and knee arthroplasty anaesthesia. Turk. J. Anaesth. Reanim. 2015;43:188-95.
  23. Prasad G., Chan V., Brull R. Does regional anesthesia improve outcome after total knee arthroplasty? Clin. Orthop. Relat. Res. 2009;467:2379-402.
  24. Johnson R., Kopp S., Burkle C., Duncan C., Jacob A., Erwin P. et al. Neuraxial vs general anaesthesia for total hip and total knee arthroplasty: a systematic review of comparative-effectiveness research. Br. J. Anaesth. 2016;116:163-76.
  25. Mortazavi S., Kakli H., Bican O., Moussouttas M., Parvizi J., Rothman R. Perioperative stroke after total joint arthroplasty: prevalence, predictors, and outcome. J. Bone Joint Surg. Am. 2010;92(11):2095-101.
  26. Memtsoudis S., Sun X., Chiu Y., Nurok M., Stundner O., Pastores S. et al. Utilization of critical care services among patients undergoing total hip and knee arthroplasty: epidemiology and risk factors. Anesthesiology. 2012;117:107-16.
  27. Stundner O., Chiu Y-L., Sun X. et al. Comparative perioperative outcomes associated with neuraxial versus general anesthesia for simultaneous bilateral total knee arthroplasty. Reg. Anesth. Pain Med. 2012;37(6):638-44.
  28. Hunt L., Ben-Shlomo Y., Clark E. et al. 90-day mortality after 409 096 total hip replacements for osteoarthritis, from the National Joint Registry for England and Wales: a retrospective analysis. Lancet. 2013;382(9898):1097-104.
  29. Pugely A., Martin C., Gao Y., Mendoza-Lattes S., Callaghan J. Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty. J. Bone Joint Surg. Am. 2013;95:193-9.
  30. Memtsoudis S., Rasul R., Suzuki S. et al. Does the impact of the type of anesthesia on outcomes differ by patient age and comorbidity burden? Reg. Anesth. Pain Med. 2014;39(2):112-9.
  31. Kopp S., Berbari E., Osmon D.R., Schroeder D., Hebl J., Horlocker T., Hanssen A. The Impact of Anesthetic Management on Surgical Site Infections in Patients Undergoing Total Knee or Total Hip Arthroplasty. Anesth. Analg. 2015;121(5):1215-21.
  32. Kurtz S., Lau E., Watson H., Schmier J., Parvizi J. Economic burden of periprosthetic joint infection in the United States. J. Arthroplasty. 2012;27:61-5.
  33. Lentino J. Prosthetic joint infections: bane of orthopedists, challenge for infectious disease specialists. Clin.Infect. Dis. 2003;36:1157-61.
  34. Bozic K., Kurtz S., Lau E., Ong K., Vail T., Berry D. The epidemiology of revision total hip arthroplasty in the United States. J. Bone Joint Surg. Am. 2009;91(1):128-33.
  35. Bozic K., Kurtz S., Lau E., Ong K., Chiu V., Vail T., Rubash H., Berry D. The epidemiology of revision total knee arthroplasty in the United States. Clin. Orthop. Relat. Res. 2010;468(1):45-51.
  36. Liu J., Ma C., Elkassabany N., Fleisher L., Neuman M. Neuraxial anesthesia decreases postoperative systemic infection risk compared with general anesthesia in knee arthroplasty. Anesth. Analg. 2013;117:1010-6.
  37. Poultsides L., Ma Y., Della Valle A., Chiu Y., Sculco T., Memtsoudis S. In-hospital surgical site infections after primary hip and knee arthroplasty—incidence and risk factors. J. Arthroplasty. 2013;28:385-9.
  38. Scholten R., Leijtens B., Hannink G., Kamphus A., Somford M., Susante J. General anesthesia might be associated with early periprosthetic joint infection: an observational study of 3,909 arthroplasties. Acta Orthopaedica. 2019;90(6):554-8.
  39. Zorrilla-Vaca A., Grant M., Mathur V., Li J., Wu C. The impact of neuraxial versus general anesthesia on the incidence of postoperative surgical site infections following knee or hip arthroplasty. A meta-analysis. Reg. Anesth. Pain Med. 2016;41(5):555-63.
  40. Sessler D. Neuraxial anesthesia and surgical site infection. Anesthesiology. 2010;113:265-7.
  41. Akсa O., Melischek M., Scheck T., Hellwagner K., Arkiliс C., Kurz A., Kapral S., Heinz T., Lackner F., Sessler D. Postoperative pain and subcutaneous oxygen tension. Lancet. 1999;354:41-2.
  42. Treschan T., Taguchi A., Ali S., Sharma N., Kabon B., Sessler D., Kurz A. The effects of epidural and general anesthesia on tissue oxygenation. Anesth. Analg. 2003;96:1553-7.
  43. Buggy D., Doherty W., Hart E., Pallett E. Postoperative wound oxygen tension with epidural or intravenous analgesia: a prospective, randomized, single-blind clinical trial. Anesthesiology. 2002;97:952-8.
  44. Kabon B., Fleischmann E., Treschan T., Taguchi A., Kapral S., Kurz А. Thoracic epidural anesthesia increases tissue oxygenation during major abdominal surgery. Anesth. Analg. 2003;97:1812-7.
  45. Gottschalk A., Rink B., Smektala R., Piontek A., Ellger B. Spinal anesthesia protects against perioperative hyperglycemia in patients undergoing hip arthroplasty. J. Clin. Anesth. 2014;26(6):455-60.
  46. Moudgil G. Update on anaesthesia and the immune response. Can. Anaesth. Soc. J. 1986;33(3 Pt 2):S54-60.
  47. Pumberger M., Memtsoudis S., Stundner O. et al. An analysis of the safety of epidural and spinal neuraxial anesthesia in more than 100000 consecutive major lower extremity joint replacements. Reg. Anesth. Pain Med. 2013;38(06):515-9.
  48. Macfarlane A., Prasad G., Chan V., Brull R. Does regional anesthesia improve outcome after total knee arthroplasty? Clin. Orthop. Relat. Res. 2009;467(9):2379-402.
  49. Moucha C., Weiser M., Levin E.. Current Strategies in Anesthesia and Analgesia for Total Knee Arthroplasty. J. Am. Acad. Orthop. Surg. 2016;24(2):60-73.
  50. Ilfeld B., Duke K., Donohue M. The association between lower extremity continuous peripheral nerve blocks and patient falls after knee and hip arthroplasty. Anesth. Analg. 2010;111(6):1552-4.
  51. Chan E., Fransen M., Parker D., Assam P., Chua N. Femoral nerve blocks for acute postoperative pain after knee replacement surgery. Cochrane Database Syst. Rev. 2014; 5:CD009941.
  52. Memtsoudis S., Poeran J., Cozowicz C. et al. The impact of peripheral nerve blocks on perioperative outcome in hip and knee arthroplasty – a population-based study. Pain. 2016;157:2341-49.
  53. Memtsoudis S., Cozowicz C., Bekeris J., Bekere D., Liu J., Sof-fin E. et al. Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis. Br. J. Anaesth. 2019;123(3):269-87.

Copyright (c) 2020 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies