Factors Associated With Failure of Spinal Anesthetic: An 8-Year Retrospective Analysis of Patients Undergoing Elective Hip and Knee Joint Arthroplasty

Jane Colish; Andrew D. Milne; Paul Brousseau; Vishal Uppal

doi:10.1213/ANE.0000000000004304

Factors Associated With Failure of Spinal Anesthetic: An 8-Year Retrospective Analysis of Patients Undergoing Elective Hip and Knee Joint Arthroplasty

Jane Colish, Andrew D. Milne, Paul Brousseau, Vishal Uppal

Medicine

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

12 Citas (Scopus)

Resumen

The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01–1.05), lower body mass index (BMI; OR, 1.04 [1.01–1.08]), hip arthroplasty (OR, 1.90 [1.28–2.84]) compared to knee arthroplasty, needle insertion at L4-5 (OR, 4.61 [2.02–10.54]) and L5-S1 (OR, 7.66 [2.47–23.7]) compared to L2-3, 22-gauge needle size (OR, 2.17 [1.34–3.52]) compared to 25-gauge needle, and hyperbaric bupivacaine (OR, 1.66 [1.09–2.53]) compared to isobaric bupivacaine.

Idioma original	English
Páginas (desde-hasta)	E19-E22
Publicación	Anesthesia and Analgesia
Volumen	130
N.º	1
DOI	https://doi.org/10.1213/ANE.0000000000004304
Estado	Published - ene. 2020

Nota bibliográfica

Funding Information:
Accepted for publication May 20, 2019. Funding: This project received a $2000 support from the Department of Anesthesia, Perioperative Medicine and Pain Management, Dalhousie University, Nova Scotia Health Authority, for statistical consultation. Conflicts of Interest: See Disclosures at the end of the article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (www.anesthesia-analgesia.org). Reprints will not be available from the authors.

Publisher Copyright:
Copyright © 2019 International Anesthesia Research Society

ASJC Scopus Subject Areas

Anesthesiology and Pain Medicine

PubMed: MeSH publication types

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

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abstract = "The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01–1.05), lower body mass index (BMI; OR, 1.04 [1.01–1.08]), hip arthroplasty (OR, 1.90 [1.28–2.84]) compared to knee arthroplasty, needle insertion at L4-5 (OR, 4.61 [2.02–10.54]) and L5-S1 (OR, 7.66 [2.47–23.7]) compared to L2-3, 22-gauge needle size (OR, 2.17 [1.34–3.52]) compared to 25-gauge needle, and hyperbaric bupivacaine (OR, 1.66 [1.09–2.53]) compared to isobaric bupivacaine.",

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Factors Associated With Failure of Spinal Anesthetic: An 8-Year Retrospective Analysis of Patients Undergoing Elective Hip and Knee Joint Arthroplasty

Resumen

Nota bibliográfica

ASJC Scopus Subject Areas

PubMed: MeSH publication types

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