Résumé
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.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | E19-E22 |
| Journal | Anesthesia and Analgesia |
| Volume | 130 |
| Numéro de publication | 1 |
| DOI | |
| Statut de publication | Published - janv. 2020 |
Note bibliographique
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