Guidelines and alternatives for neuraxial anesthesia and venous thromboembolism prophylaxis in major orthopedic surgery.

Charles Hantler, George J Despotis, Raj Sinha, Jacques E Chelly

Journal: The Journal of arthroplasty 2005;19(8):1004-16

PMID: 15586337

Full Text on Elsevier Science View on PubMed

Abstract

Neuraxial anesthesia during major orthopedic surgery, combined with venous thromboembolism prophylaxis, is generally safe and well tolerated, with potential benefits over general anesthesia. The risk of spinal/epidural hematoma, a rare but very serious complication, can be minimized by careful patient selection and attention to anesthetic technique. This risk is further reduced with the use of peripheral nerve blocks in place of neuraxial anesthesia.

Address: Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.

DOI: 10.1016/j.arth.2004.04.018

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MeSH Terms: Anesthesia, Conduction, Anesthesia, General, Aspirin, Factor Xa Inhibitors, Heparin, Humans, Orthopedic Procedures, Venous Thrombosis, Vitamin K, Warfarin