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Anaesthesia in orthopaedic surgery

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Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.

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Abstract

Regional anaesthesia (RA), general anaesthesia (GA), and RA integrated with mild GA (IA) are the options available to the anaesthetist in orthopaedic and traumatology surgery. Choosing the most appropriate anaesthetic depends on the anaesthetist’s habits and technical skills. Estimated bleeding, operation time, and postoperative pain and stress should be borne in mind, because of the physical and psychological repercussions they entail. The advantages of RA are the control of endocrine-metabolism reactions induced by surgical stress [1], [2], reduced perioperative bleeding [3], and reduced postoperative morbidity [1], [4]. GA provides sedation and protection from the surgical environment (noise, smells, emergencies) and enables the patients to stay in uncomfortable positions for a long time. However, it fails to inhibit hormonal and endocrine responses to stress, even with the help of high plasma concentrations of opioids [5], [6].

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Author information

Authors and Affiliations

  1. Anesthesia Research Staff, IRCCS Istituti Ortopedici Rizzoli, Bologna, Italy

    B. Borghi, J. Frugiuele & A. Adduci

Authors
  1. B. Borghi
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  2. J. Frugiuele
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  3. A. Adduci
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Editor information

Editors and Affiliations

  1. Department of Perioperative Medicine, Intensive Care and Emergency, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 2006 Springer-Verlag Italia

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Borghi, B., Frugiuele, J., Adduci, A. (2006). Anaesthesia in orthopaedic surgery. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0407-1_61

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  • DOI: https://doi.org/10.1007/88-470-0407-1_61

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0406-1

  • Online ISBN: 978-88-470-0407-8

  • eBook Packages: MedicineMedicine (R0)

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