01 May 1996
Comparison of spinal anaesthesia and epidural anaesthesia in total hip replacement
Dariusz Piotrowski, Wojciech Gaszyński, Krzysztof Pisula, Zbigniew Kaszyński, Tomasz BrzóskaMed Sci Monit 1996; 2(3): CR322-329 :: ID: 499828
Abstract
The authors focus on the influence of spinal anaesthesia and the epidural one on the quality of the blackade and on the matabolic-hormonal response evoked by the total hip replacement. Among 120 patients who have been investigated, 80 were anaesthetized by the spinal anaesthesia and 40 by the epidural one, in both cases 0.5% bupivacaine (Marcaine, Astra) was used. The authors investigated the onset-time and the range of the blockade, the level of motor blockade and the duration of sensory blockade. They also measured heart rate, systolic and diastolic blood pressure, the concentration of glucose, cortisol, TT3, TT4 and beta-endorphine in blood serum. On the basis of the above examinations the authors found out that the spinal anaesthesia affected the necessary range of blockade sooner than epidural anaesthesia. The depression of circulation was comparative in both kinds of anaesthesia. The spinal anaesthesia in comparison with the epidural one caused lesser growth of glucose, cortisol and beta-endorphine concentration in blood serum, while the growth of TT3 and TT4 was similar in both cases. It seems that the spinal anaesthesia is a better solution in total hip replacement.
Keywords: total hip replacement, spinal anaesthesia, epidural anaesthesia, beta-endorphine, Cortisol, Thyroid Hormones, Glucose
Editorial
04 June 2022 : Editorial
Editorial: Acute Hepatitis of Unknown Origin in Children. Is Autoimmunity at Play?DOI: 10.12659/MSM.937371
Med Sci Monit 2022; 28:e937371
SARS-CoV-2/COVID-19
30 June 2022 : Editorial
Editorial: World Health Organization (WHO) Variants of Concern Lineages Under Monitoring (VOC-LUM) in Respo...Med Sci Monit In Press; DOI: 10.12659/MSM.937676
27 June 2022 : Clinical Research
Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who...Med Sci Monit In Press; DOI: 10.12659/MSM.937430
04 June 2022 : Clinical Research
Screening for SARS-CoV-2 Infection in Students at the Medical University of Warsaw, Poland Between November...Med Sci Monit 2022; 28:e936962
30 May 2022 : Clinical Research
Effects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...Med Sci Monit 2022; 28:e936069
In Press
30 Jun 2022 : Laboratory Research
Bcl-2 19-kDa Interacting Protein 3 (BNIP3)-Mediated Mitophagy Attenuates Intermittent Hypoxia-Induced Human...Med Sci Monit In Press; DOI: 10.12659/MSM.936760
30 Jun 2022 : Editorial
Editorial: World Health Organization (WHO) Variants of Concern Lineages Under Monitoring (VOC-LUM) in Respo...Med Sci Monit In Press; DOI: 10.12659/MSM.937676
30 Jun 2022 : Clinical Research
Antioxidant System and Ions Concentrations After Femoral Neck and Resurfacing Hip ArthroplastyMed Sci Monit In Press; DOI: 10.12659/MSM.936335
28 Jun 2022 : Meta-Analysis
Urodynamics in Early Diagnosis of Diabetic Bladder Dysfunction in Women: A Systematic Review and Meta-AnalysisMed Sci Monit In Press; DOI: 10.12659/MSM.937166
Most Viewed Current Articles
30 Dec 2021 : Clinical Research
Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...DOI :10.12659/MSM.935379
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review article
A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...DOI :10.12659/MSM.936292
Med Sci Monit 2022; 28:e936292
01 Nov 2020 : Review article
Long-Term Respiratory and Neurological Sequelae of COVID-19DOI :10.12659/MSM.928996
Med Sci Monit 2020; 26:e928996
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952