Arthroplasty, Replacement, Knee
Conditions
Keywords
total knee arthroplasty, general anesthesia, neuraxial anesthesia, complications
Brief summary
The aim of this study is to investigate the effect of combined spinoepidural and general anesthesia on the incidence of postoperative complications following total knee arthroplasty
Detailed description
Total knee arthroplasty is known to cause complications (pulmonary thromboembolism, acute kidney injury, arryhthmias and infection). The investigators aimed to study the effects of two different anesthesia techniques, i.e. combined spinoepidural anesthesia and general anesthesia on the incidence of postoperative complications such as arrhythmia, pulmonary thrombeoembolism, infection, acute kidney injury and mortality.
Interventions
The patients in general anesthesia group will undergo general anesthesia
The patients in Group R will be given combined spinoepidural anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled to undergo elective unilateral total knee arthroplasty
Exclusion criteria
* Patient refusal * Scheduled for bilateral or unilateral unicondylar knee arthroplasty * Known history of allergy to drugs used in the study * Severe systemic disease * Morbid obesity (BMI\>30) * History of renal dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute Kidney Injury | Postoperative first day | Number of participants with new onset acute kidney injury |
| Pulmonary Thromboembolism | Postoperative first day | Number of participants with new onset pulmonary thromboembolism |
| Infection | Postoperative first day | Number of participants with new onset infection |
| Arryhthmia | Postoperative first day | Number of participants with new onset arryhthmia requiring treatment |
| Death | Postoperative first day | Number of participants with mortality |
Countries
Turkey (Türkiye)