Neuroaxial Anesthesia Lowers Risk of Complications, Deaths for Primary Joint Arthroplasty

Neuroaxial anesthesia is associated with superior perioperative outcomes and fewer deaths as compared to general anesthesia in patients undergoing hip or knee replacement procedures, according to a study published in the May issue of Anesthesiology.

Data from approximately 400 hospitals between 2006 and 2010 were accessed. Of the 382,236 cases analyzed, 11 percent were performed under neuraxial anesthesia, 14.2 percent under a mix of neuraxial and general and 74.8 percent under general alone.

The study found that when neuroaxial anesthesia was used as opposed to general anesthesia the 30-day mortality rate as well as incidence of prolonged length of stay, in-hospital complications and increased costs for patients undergoing hip or knee arthroplasty was significantly lower.

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