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Published on: December 3, 2017
General Versus Neuraxial Anesthesia in Revision Surgery for Periprosthetic Joint Infection
Joseph Serino1, Anoop R Galivanche2, Jonathan N Grauer2
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Background:
The purpose of this study was to compare neuraxial and general anesthesia in revision surgery for periprosthetic joint infection (PJI).
Methods:
Patients undergoing revision arthroplasty for PJI were identified in the 2005-2019 American College of Surgeons National Surgical Quality Improvement Program databases. Thirty-day outcomes were compared between general and neuraxial anesthesia. Propensity-score matching and multivariate analysis were used to control patient and procedural variables.
Results:
Neuraxial anesthesia was used in 1511 (16.8%) cases and general anesthesia in 7468 (83.2%) cases. Neuraxial anesthesia had a lower risk of any adverse event (odds ratio [OR] 0.70, P < .001), serious adverse events (OR 0.77, P < .001), and minor adverse events (OR 0.66, P < .001). Among 875 reoperations and 1351 readmissions, two had a diagnosis of intraspinal abscess, both occurring after general anesthesia.
Conclusions:
Neuraxial anesthesia was associated with a lower risk of adverse events when compared to general anesthesia in revision surgery for PJI.
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