Kalça Artroskopisinde Anestezi Yönetimi: Bir Retrospektif Çalışma

Abstract

Objective: Hip arthroscopy is a minimally invasive procedure which is most recently introduced in the field of arthroscopic orthopedic surgery. The aim of this retrospective study was to share our five years' experience in the anesthetic management of these patients and discuss within the literature. Material and Methods: After obtaining hospital's ethic committee approval, retrospective data were collected from the electronic database, anesthesia records and medical files of patients who underwent unilateral hip arthroscopy between 2015 and 2020. Results: Two hundred six patients were included in the study. Mean age was 39.9±7.2 (16-70) years. Ninety four patients were female and one hundred twelve were male. All patients received general anesthesia. Mean operative time was 141.6±14.8 (65-240) minutes. Mean hospital discharge time was 27.1±9.3 (16-68) hours. One hundred twenty seven patients (61.6%) were discharged in an outpatient manner (<24 hours). Thirty six patients (17.4%) suffered from intractable pain that required opioids. Main anesthetic complications were postoperative shivering, nausea and vomiting. Nerve palsy was recorded in 12 patients (5.8%) due to the positioning, traction and compression injuries which resolved spontaneously in postoperative 8 weeks. Conclusion: Anesthetic considerations of hip arthroscopy include special attention to positioning in order to prevent traction and compression injuries, hypotensive anesthesia, fluid extravasation, hypothermia, shivering, and postoperative pain management.