Neuraxial anesthesia decreases postoperative systemic infection risk compared with general anesthesia in knee arthroplasty

Anesthesia and Analgesia

Volumn 117, Issue 4, 2013, Pages 1010-1016

  Liu, Jiabin ^a   Ma, Chenjuan ^b   Elkassabany, Nabil ^a   Fleisher, Lee A ^a   Neuman, Mark D ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMORBIDITY; COMPARATIVE STUDY; EPIDURAL ANESTHESIA; FEMALE; GENERAL ANESTHESIA; HUMAN; INFECTION RISK; INFECTIOUS COMPLICATION; KNEE ARTHROPLASTY; MAJOR CLINICAL STUDY; MALE; MORTALITY; NEURAXIAL ANESTHESIA; OUTCOME ASSESSMENT; PNEUMONIA; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; REGIONAL ANESTHESIA; RISK ASSESSMENT; SEPSIS; SEPTIC SHOCK; SPINAL ANESTHESIA; SURGICAL INFECTION; URINARY TRACT INFECTION;

AGED; ANESTHESIA, EPIDURAL; ANESTHESIA, GENERAL; ARTHROPLASTY, REPLACEMENT, KNEE; COHORT STUDIES; DATABASES, FACTUAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RETROSPECTIVE STUDIES; SURGICAL WOUND INFECTION;

EID: 84885020905     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0b013e3182a1bf1c     Document Type: Article

References (21)

1. Cram P, Lu X, Kates SL, Singh JA, Li Y, Wolf BR. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA 2012;308:1227-36
2. Cram P, Vaughan-Sarrazin MS, Wolf B, Katz JN, Rosenthal GE. A comparison of total hip and knee replacement in specialty and general hospitals. J Bone Joint Surg Am 2007;89:1675-84 (Pubitemid 47240912)
3. Gottschalk A, Sharma S, Ford J, Durieux ME, Tiouririne M. Review article: the role of the perioperative period in recurrence after cancer surgery. Anesth Analg 2010;110:1636-43
4. Kennedy BC, Hall GM. Neuroendocrine and inflammatory aspects of surgery: do they affect outcome? Acta Anaesthesiol Belg 1999;50:205-9
5. Rosendahl W, Schulz U, Teufel T, Irtel von Brenndorf C, Gupta D. Surgical stress and neuroendocrine responses in infants and children. J Pediatr Endocrinol Metab 1995;8:187-94
6. Wada H, Seki S, Takahashi T, Kawarabayashi N, Higuchi H, Habu Y, Sugahara S, Kazama T. Combined spinal and general anesthesia attenuates liver metastasis by preserving TH1/TH2 cytokine balance. Anesthesiology 2007;106: 499-506 (Pubitemid 46662215)
7. Liu SS, Block BM, Wu CL. Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis. Anesthesiology 2004;101: 153-61 (Pubitemid 38833276)
8. Tønnesen E, Wahlgreen C. Influence of extradural and general anaesthesia on natural killer cell activity and lymphocyte subpopulations in patients undergoing hysterectomy. Br J Anaesth 1988;60:500-7
9. Tverskoy M, Cozacov C, Ayache M, Bradley EL Jr, Kissin I. Postoperative pain after inguinal herniorrhaphy with different types of anesthesia. Anesth Analg 1990;70:29-35 (Pubitemid 20039976)
10. Woolf CJ, Salter MW. Neuronal plasticity: increasing the gain in pain. Science 2000;288:1765-9
11. Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T, MacMahon S. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 2000;321:1493
12. Nishimori M, Ballantyne JC, Low JH. Epidural pain relief versus systemic opioid-based pain relief for abdominal aortic surgery. Cochrane Database Syst Rev 2006;3:CD005059
13. Parker MJ, Handoll HH, Griffiths R. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev 2001;4:CD000521
14. Choi PT, Bhandari M, Scott J, Douketis J. Epidural analgesia for pain relief following hip or knee replacement. Cochrane Database Syst Rev 2003;3:CD003071
15. Wu CL, Hurley RW, Anderson GF, Herbert R, Rowlingson AJ, Fleisher LA. Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients. Reg Anesth Pain Med 2004;29:525-33 (Pubitemid 40039988)
16. Stundner O, Chiu YL, Sun X, Mazumdar M, Fleischut P, Poultsides L, Gerner P, Fritsch G, Memtsoudis SG. Comparative perioperative outcomes associated with neuraxial versus general anesthesia for simultaneous bilateral total knee arthroplasty. Reg Anesth Pain Med 2012;37:638-44
17. White H. A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica 1980;48:817-38
18. Rosenbaum PR, Rubin RD. The central role of the propensity score in observational studies for causal effects. Biometrika 1983;70:41-55
19. Joffe MM, Rosenbaum PR. Invited commentary: propensity scores. Am J Epidemiol 1999;150:327-33 (Pubitemid 29383480)
20. Cepeda MS, Boston R, Farrar JT, Strom BL. Comparison of logistic regression versus propensity score when the number of events is low and there are multiple confounders. Am J Epidemiol 2003;158:280-7 (Pubitemid 36944422)
21. Chang CC, Lin HC, Lin HW, Lin HC. Anesthetic management and surgical site infections in total hip or knee replacement: a population-based study. Anesthesiology 2010;113:279-84