Comparison of Operation Time, Vital Signs, Bleeding Tendency, and Recovery Time Based on Anesthesia Methods in...

Area of Science:

• Anesthesiology
• Orthopedic Surgery
• Patient Outcomes

Background:

• Hip surgery is a common procedure in elderly patients.
• Anesthesia choice significantly impacts surgical outcomes and recovery.
• Comparing general anesthesia (GA) and spinal anesthesia (SA) is crucial for optimizing patient care.

Purpose of the Study:

• To compare operation time, vital signs, bleeding, and recovery between GA and SA in hip surgery patients.
• To identify differences in patient characteristics and outcomes based on anesthesia type.
• To provide data for informed anesthesia decisions in hip surgery.

Main Methods:

• Retrospective descriptive study of 187 hip surgery patients (≥65 years).
• Compared 83 patients receiving GA with 104 patients receiving SA.
• Analyzed data from electronic medical records using SPSS, including t-tests and chi-squared tests.

Main Results:

• General anesthesia (GA) group had higher American Society of Anesthesiologists (ASA) classification (≥III), longer operation times, increased fluid volume, and greater blood loss/transfusion requirements.
• Spinal anesthesia (SA) group experienced longer recovery times and higher D-dimer levels.
• Significant differences observed in ASA classification, operation time, postoperative diastolic blood pressure, fluid volume, blood transfusion, blood loss, and recovery time.

Conclusions:

• Anesthesia choice in hip surgery influences key perioperative outcomes.
• GA is associated with increased intraoperative complications like bleeding, while SA may prolong recovery.
• Findings offer guidelines for perianesthesia nurses in Korea regarding anesthesia management for hip surgery.