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General vs neuraxial anesthesia in direct anterior approach total hip arthroplasty: Effect on length of stay and early pain control

Journal of Arthroplasty Oct 23, 2020

Kelly ME, Turcotte JJ, Aja JM, et al. - Researchers here examined how neuraxial anesthesia (NA) as an alternative for general anesthesia (GA) affects outcomes for patients undergoing direct anterior (DA) approach total hip arthroplasty (THA) in an institution with established rapid recovery protocols. They performed a retrospective review for 500 consecutive THA patients from a single institution. Findings suggest association of neuraxial anesthesia with reduced LOS, reduced PACU morphine milligram equivalents, and a lower PACU pain score for patients undergoing primary DA THA. When controlling for age, gender, BMI, and ASA, these trends remained consistent.

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