The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty

• Published in: Aǧrı 2009-04, Vol.21 (2), p.62-68
• Main Authors: Utebey, Gülten, Akkaya, Taylan, Alptekin, Alp, Sayin, Murat, Gümüş, Haluk, Ateş, Yalim
• Format: Article
• Language: Turkish
• Subjects: Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid - therapeutic use; Anesthesia, General; Arthroplasty, Replacement, Hip; Blood Transfusion; Female; Humans; Intraoperative Period; Lumbosacral Plexus; Male; Middle Aged; Morphine - therapeutic use; Nerve Block; Pain Measurement; Pain, Postoperative - prevention & control; Patient Satisfaction; Postoperative Hemorrhage - prevention & control
• ISSN: 1300-0012

In this study, the effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in patients undergoing total hip arthroplasty (THA) under general anesthesia was documented. The study included 45 patients undergoing THA under general anesthesia. Group GA (n=15) received general anesthesia, Group GA+E (n=15) received general anesthesia + epidural catheter and Group GA+LPB (n=15) received general anesthesia + lumbar plexus catheterization. Intraoperative blood transfusion (IOBT) requirements and intraoperative bleeding (IOB) were documented. Postoperative hemoglobin, hematocrit and total blood loss through the drains were also documented. All patients received patient-controlled analgesia through the IV route. Time to first analgesic requirement (TFAR), total IV morphine consumption (MORPH 24) and 24-hour visual analogue scale (VAS) values were evaluated. TFAR was the lowest (8.7+/-4.0 min.) in the GA group and highest (42.7+/-14.4 min) in the GA+LPB group, and the GA+E group had lower values than the GA+LPB (32.3+/-16.0 min) group (p