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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

18.02.2023 | Original Article

The association between anesthesia type and postoperative outcomes in patients receiving primary total shoulder arthroplasty

verfasst von: Frank R. Chen, Theodore Quan, Pradip Ramamurti, Alana Sadur, Sean Tabaie, Zachary R. Zimmer

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2023

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Abstract

Purpose

There has been interest to investigate optimal anesthetic techniques for primary total shoulder arthroplasty (TSA). In this study, we investigate if there are differences in postoperative complications in patients receiving (1) regional alone; (2) general alone; and (3) regional plus general anesthesia for primary TSA.

Methods

Patients undergoing primary TSA from 2014 to 2018 were identified in a national database. Patients were stratified into 3 cohorts: general anesthesia, regional anesthesia, and general anesthesia combined with regional anesthesia. Thirty-day complications were assessed using bivariate and multivariate analyses.

Results

Of 13,386 total patients undergoing TSA, 9079 patients (67.8%) had general anesthesia, 212 (1.6%) had regional anesthesia, and 4095 (30.6%) had general anesthesia combined with regional anesthesia. There were no significant differences in postoperative complications between the general anesthesia group and the regional anesthesia group. Following adjustment, an increased risk of extended length of hospital stay was seen in the combined general and regional anesthesia group compared to those who only had general anesthesia (p = 0.001).

Conclusion

General versus regional versus general plus regional anesthesia have no difference in postoperative complications in patients receiving primary total shoulder arthroplasty. However, addition of regional anesthesia to general anesthesia is associated with increased length of stay.

Level of evidence

III.

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Titel: The association between anesthesia type and postoperative outcomes in patients receiving primary total shoulder arthroplasty
verfasst von: Frank R. Chen
Theodore Quan
Pradip Ramamurti
Alana Sadur
Sean Tabaie
Zachary R. Zimmer
Publikationsdatum: 18.02.2023
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 7/2023
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03494-1

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The association between anesthesia type and postoperative outcomes in patients receiving primary total shoulder arthroplasty

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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Purpose

Methods

Results

Conclusion

Level of evidence

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