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Year 2008, Volume: 21 Issue: 2, 146 - 151, 24.06.2015

Abstract

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References

  • 1. Kelsey JL, Hoffman S. Risk factors for hip fracture. N Engl J Med 1987; 316: 404-406.
  • 2. Dauphin A, Raymer KE, Stanton EB, et al. Comparison of general anesthesia with and without lumbar epidural for total hip arthroplasty: effects of epidural block on hip arthroplasty. J Clin Anesth 1997; 9: 200-203.
  • 3. Salzman EW, Harris WH. Prevention of venous thromboembolism in orthopaedic patients. J Bone Joint Surg Am 1976; 58A: 903-913.
  • 4. Sharnoff JG, Rosen RL, Sadler AH, et al. Prevention of pulmonary thromboembolism by heparin prophylaxis after surgery for hip fractures. J Bone Joint Surg Am 1976; 58A: 913-918.
  • 5. Urwin SC, Parker MJ, Griffiths R. General versus regional anaesthesia for hip fracture surgery: a metaanalysis of randomized trials. Br J Anaesth 2000; 84: 450-455.
  • 6. Davis FM, Laurenson VG. Spinal anesthesia or general anesthesia for emergency hip surgery in elderly patients. Anaesth Intensive Care 1981; 9: 352-358.
  • 7. McKenzie PJ, Loach AB. Local anaesthesia for orthopaedic surgery. Br J Anaesth. 1986; 58: 779-789.
  • 8. Modig J, Borg T, Karlstrom G, et al. Thromboembolism after total hip replacement: role of epidural and general anesthesia. Anesth Analg 1983; 62: 174-180.
  • 9. Sharrock NE, Ranawat CS, Urquhart B. Factors influencing deep vein thrombosis following total hip arthroplasty under epidural anesthesia. Anesth Analg 1993; 76: 765-771.
  • 10. Sharrock NE, Brien WW, Salvati EA,et al. The effect of intravenous fixed dose heparin during total hip arthroplasty on the incidence of deep venous thrombosis. A randomized double-blind trial in patients operated on with epidural anesthesia and controlled hypotension. J Bone Joint Surg Am 1990; 72A: 1456- 1461.
  • 11. Torholm C, Broeng L, Jorgensen PS, et al. Thromboprophylaxis by low-molecular-weight heparin in elective hip surgery. J Bone Joint Surg Br 1991; 73: 434-438.
  • 12. Ogawa S, Gerlach H, Esposito C, et al. Hypoxia modulates the barrier and coagulant function of cultured bovine endothelium. Increased monolayer permeability and induction of procoagulant properties. J Clin Invest 1990; 85: 1090-1098.
  • 13. Hamer JD, Malone PC, Silver IA. The PO2 in venous valve pockets: its possible bearing on thrombogenesis. Br J Surg 1981; 68: 166-170.
  • 14. Goldman L. Cardiac risk in noncardiac surgery: an update. Anesth Analg 1995; 80: 810-820.
  • 15. Hole A, Terjesen T, Breivik H. Epidural versus general anaesthesia for total hip arthroplasty in elderly patients. Acta Anaesthesiol Scand 1980; 24: 279-287.
  • 16. Wolters U, Wolf T, Stutzer H, et al. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 1996; 77: 217-222.
  • 17. Handoll HH, Farrar MJ, McBirnie J, et al. Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures. Cochrane Database Syst Rev 2002; (4): CD000305.
  • 18. Covert CR, Fox GS. Anaesthesia for hip fracture in elderly. Can J Anaesth 1989; 36: 311-319.
  • 19. O’Hara DA, Duff A, Berlin JA, et al. The effect of anesthetic technique on postoperative outcomes in hip fracture repair. Anesthesiology 2000; 92: 947-957.
  • 20. Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987; 66: 729-736.
  • 21. Williams-Russo P, Sharrock NE, Haas SB, et al. Randomized trial of epidural versus general anesthesia: outcomes after primary total knee replacement. Clin Orthop Relat Res 1996; 331:199-208.
  • 22. Leali A, Fetto J, Moroz A. Prevention of thromboembolic disease after non-cemented hip arthroplasty. A multimodal approach. Acta Orthop Belg 2002; 68: 128-134.

YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ

Year 2008, Volume: 21 Issue: 2, 146 - 151, 24.06.2015

Abstract

Amaç: Yaşlı hastalarda sık görülen travmatik kalça kırığının major tedavisi total kalça protezidir. Ancak bu girişim venöz tromboemboli gibi belirgin postoperatif komplikasyonlara neden olabilir. Bu çalışmada travmatik kalça kırığı nedeniyle total kalça protezi operasyonu geçiren yaşlı hastalarda postoperatif dönemde morbidite ve mortaliteyi arttıran bir komplikasyon olan venöz tromboemboli görülme sıklığının uygulanan anestezi yöntemiyle ilişkisi retrospektif olarak incelenmiştir. Gereç ve Yöntem: Kliniğimizde 1997-2003 tarihleri arasında 65 yas uzeri, travmatik kalça kırığı nedeniyle total kalça protezi operasyonu geçiren 65 yas ustu hastalarin kayitlari incelenmistir. Hastalarin demografik özellikleri, intraoperatif ve postoperatif bulguları, venöz tromboemboli görülme sıklığı ve anestezi yontemi ile ilişkisi incelenmiştir. Bulgular: 291 hastanın %10.8’inde postoperatif venöz tromboemboli tesbit edilmiştir. Genel anestezi sonrası tromboemboli sıklığı %10.5 iken, epidural anestezi sonrası %9.2 olarak belirlenmiştir (p > 0.05). Sonuçlar: Çalışmamızda venöz tromboemboli sıklığı ile cerrahi sırasında uygulanan anestezi yöntemi arasında bir ilişki belirlenemese de, epidural anestezinin daha az kan kaybı ve daha az kan transfüzyonuna neden olduğu saptanmıştır. Ayrıca venöz tromboemboli görülme sıklığının yaş ve cerrahi süre ile orantılı olarak arttığı belirlenmiştir.

References

  • 1. Kelsey JL, Hoffman S. Risk factors for hip fracture. N Engl J Med 1987; 316: 404-406.
  • 2. Dauphin A, Raymer KE, Stanton EB, et al. Comparison of general anesthesia with and without lumbar epidural for total hip arthroplasty: effects of epidural block on hip arthroplasty. J Clin Anesth 1997; 9: 200-203.
  • 3. Salzman EW, Harris WH. Prevention of venous thromboembolism in orthopaedic patients. J Bone Joint Surg Am 1976; 58A: 903-913.
  • 4. Sharnoff JG, Rosen RL, Sadler AH, et al. Prevention of pulmonary thromboembolism by heparin prophylaxis after surgery for hip fractures. J Bone Joint Surg Am 1976; 58A: 913-918.
  • 5. Urwin SC, Parker MJ, Griffiths R. General versus regional anaesthesia for hip fracture surgery: a metaanalysis of randomized trials. Br J Anaesth 2000; 84: 450-455.
  • 6. Davis FM, Laurenson VG. Spinal anesthesia or general anesthesia for emergency hip surgery in elderly patients. Anaesth Intensive Care 1981; 9: 352-358.
  • 7. McKenzie PJ, Loach AB. Local anaesthesia for orthopaedic surgery. Br J Anaesth. 1986; 58: 779-789.
  • 8. Modig J, Borg T, Karlstrom G, et al. Thromboembolism after total hip replacement: role of epidural and general anesthesia. Anesth Analg 1983; 62: 174-180.
  • 9. Sharrock NE, Ranawat CS, Urquhart B. Factors influencing deep vein thrombosis following total hip arthroplasty under epidural anesthesia. Anesth Analg 1993; 76: 765-771.
  • 10. Sharrock NE, Brien WW, Salvati EA,et al. The effect of intravenous fixed dose heparin during total hip arthroplasty on the incidence of deep venous thrombosis. A randomized double-blind trial in patients operated on with epidural anesthesia and controlled hypotension. J Bone Joint Surg Am 1990; 72A: 1456- 1461.
  • 11. Torholm C, Broeng L, Jorgensen PS, et al. Thromboprophylaxis by low-molecular-weight heparin in elective hip surgery. J Bone Joint Surg Br 1991; 73: 434-438.
  • 12. Ogawa S, Gerlach H, Esposito C, et al. Hypoxia modulates the barrier and coagulant function of cultured bovine endothelium. Increased monolayer permeability and induction of procoagulant properties. J Clin Invest 1990; 85: 1090-1098.
  • 13. Hamer JD, Malone PC, Silver IA. The PO2 in venous valve pockets: its possible bearing on thrombogenesis. Br J Surg 1981; 68: 166-170.
  • 14. Goldman L. Cardiac risk in noncardiac surgery: an update. Anesth Analg 1995; 80: 810-820.
  • 15. Hole A, Terjesen T, Breivik H. Epidural versus general anaesthesia for total hip arthroplasty in elderly patients. Acta Anaesthesiol Scand 1980; 24: 279-287.
  • 16. Wolters U, Wolf T, Stutzer H, et al. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 1996; 77: 217-222.
  • 17. Handoll HH, Farrar MJ, McBirnie J, et al. Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures. Cochrane Database Syst Rev 2002; (4): CD000305.
  • 18. Covert CR, Fox GS. Anaesthesia for hip fracture in elderly. Can J Anaesth 1989; 36: 311-319.
  • 19. O’Hara DA, Duff A, Berlin JA, et al. The effect of anesthetic technique on postoperative outcomes in hip fracture repair. Anesthesiology 2000; 92: 947-957.
  • 20. Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987; 66: 729-736.
  • 21. Williams-Russo P, Sharrock NE, Haas SB, et al. Randomized trial of epidural versus general anesthesia: outcomes after primary total knee replacement. Clin Orthop Relat Res 1996; 331:199-208.
  • 22. Leali A, Fetto J, Moroz A. Prevention of thromboembolic disease after non-cemented hip arthroplasty. A multimodal approach. Acta Orthop Belg 2002; 68: 128-134.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Hatice Türe

Aslıhan Usluer This is me

Zeynep Eti This is me

Doğan Varlık This is me

F. Göğüş This is me

Publication Date June 24, 2015
Published in Issue Year 2008 Volume: 21 Issue: 2

Cite

APA Türe, H., Usluer, A., Eti, Z., Varlık, D., et al. (2015). YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ. Marmara Medical Journal, 21(2), 146-151.
AMA Türe H, Usluer A, Eti Z, Varlık D, Göğüş F. YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ. Marmara Med J. August 2015;21(2):146-151.
Chicago Türe, Hatice, Aslıhan Usluer, Zeynep Eti, Doğan Varlık, and F. Göğüş. “YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ”. Marmara Medical Journal 21, no. 2 (August 2015): 146-51.
EndNote Türe H, Usluer A, Eti Z, Varlık D, Göğüş F (August 1, 2015) YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ. Marmara Medical Journal 21 2 146–151.
IEEE H. Türe, A. Usluer, Z. Eti, D. Varlık, and F. Göğüş, “YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ”, Marmara Med J, vol. 21, no. 2, pp. 146–151, 2015.
ISNAD Türe, Hatice et al. “YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ”. Marmara Medical Journal 21/2 (August 2015), 146-151.
JAMA Türe H, Usluer A, Eti Z, Varlık D, Göğüş F. YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ. Marmara Med J. 2015;21:146–151.
MLA Türe, Hatice et al. “YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ”. Marmara Medical Journal, vol. 21, no. 2, 2015, pp. 146-51.
Vancouver Türe H, Usluer A, Eti Z, Varlık D, Göğüş F. YAŞLI HASTALARDA ANESTEZİ YÖNTEMİNİN TOTAL KALÇA PROTEZİ SONRASI DERİN VEN TROMBOZUNA ETKİSİ. Marmara Med J. 2015;21(2):146-51.