Analysis of the Emergency Rescue Nursing Intervention Effect and Rescue Success Rate for Patients with Traumatic Hemorrhagic Shock

Objective:To analyze the value of emergency rescue nursing intervention in the care of patients with traumatic hemorrhagic shock and its impact on the success rate of rescue efforts.Methods:A total of 80 patients with traumatic hemorrhagic shock were selected as samples,with the timeframe from July 2022 to July 2023.The patients were randomly divided into two groups using a random number table method.Group A received emergency rescue nursing,while Group B received routine nursing care.The success rate of rescue,rescue indicators,complication rates,and family satisfaction with nursing care were compared between the two groups.Results:The rescue success rate in Group A was higher than in Group B(P<0.05);the total blood loss in Group A was less,and the rescue time,full transportation time,and hospitalization time were shorter than in Group B(P<0.05);the complication rate of patients with traumatic hemorrhagic shock in Group A was lower than in Group B(P<0.05);the family satisfaction with emergency nursing care in Group A was higher than in Group B(P<0.05).Conclusion:Emergency rescue interventions for patients with traumatic hemorrhagic shock can reduce blood loss,shorten rescue times,and improve the success rate of shock rescue,providing a safe and effective approach.

The key environmental factors driving the succession of phytoplankton functional groups in Hongfeng Reservoir, southwest China

Reservoirs are an important water source in many densely populated areas in southwest China.Phytoplankton play an essential role in maintaining the structure and function of reservoir ecosystems.Understanding the succession in phytoplankton communities and the factors driving it are essential for eff ective water quality management in drinking water reservoirs.In this study,water samples were collected monthly at the surface layers from March 2016 to December 2019 in Hongfeng Reservoir,southwest China.The relationship between functional group succession was analyzed based on nonmetric multidimensional scaling analysis(NMDS),redundancy analysis(RDA),succession rate,and other analysis methods.The results showed distinct shifts in the community structure of phytoplankton functional groups within study period.The Cyclotella sp.was dominant in 2016 and 2017,and Pseudanabaena limnetica was the dominant group in 2018 and 2019.It appears that the phytoplankton composition and biomass are closely related to the water temperature and nutrient status in this reservoir.The results clearly showed that the permanganate index(COD_(Mn))was the key factor of dramatic phytoplankton functional group succession,and the change in succession rates was closely caused by total nitrogen concentration(TN).Therefore,the succession pattern and key factors of Hongfeng Reservoir revealed in this study were important guidance for the management of drinking water reservoirs in southwest China.A reasonable limit on exogenous nutrient input should be a priority,especially in high water temperature period.

Accuracy Analysis of Assembly Success Rate with Monte Carlo Simulations

Monte Carlo simulation was applied to Assembly Success Bate (ASK) analyses. ASR of two peg-in-hole robot assemblies was used as an example by taking component parts' sizes, manufacturing tolerances and robot repeatability into account. A statistic arithmetic expression was proposed and deduced in this paper, which offers an alternative method of estimating the accuracy of ASR, without having to repeat the simulations. This statistic method also helps to choose a suitable sample size, if error reduction is desired. Monte Carlo simulation results demonstrated the feasibility of the method.

Success rates for various graft materials in tympanoplasty e A review

Objectives:The aim of this paper is to review how successful each type of grafts is in tympanoplasty.Methods:Pubmed,Google and the Proquest Central Database at Kırıkkale University were queried using the keywords“graft”,“success”“tympanoplasty”,“success rate”with the search limited to the period 1955 to 2017.Results:Various types of graft materials including temporalis fascia,cartilage,perichondrium,periosteum,vein,fat or skin have been used in the reconstruction of tympanic membrane(TM)perforation.Although temporalis fascia ensures good hearing is restored,there are significant concerns that its dimensional stability characteristics may lead to residual perforation,especially where large TM perforations are involved.The“palisade cartilage”and“cartilage island”techniques have been stated to increase the strength and stability of a tympanic graft,but they may result in a less functional outcome in terms of restoring hearing.Smoking habits,the size and site of a perforation,the expertise level of the operating surgeon,age,gender,the status of the middle ear mucosa and the presence of myringosclerosis or tympanosclerosis are all important in determining how successful a graft is.Conclusion:Although temporal fascia is the most commonly used graft material for tympanoplasty,poor graft stability may cause failure.This failure is due to the inclusion of connective fibrous tissue containing irregular elastic fibers present in the grafted fascia.Cartilage grafts offer better ability to resist infection,pressure,and cope with insufficient vascular supply.This means that cartilage grafts are suitable for use in revision cases.

Clinical factors correlated with the success rate of miniscrews in orthodontic treatment

Miniscrews offer a reliable alternative for anchorage during orthodontic treatment,particularly for non-cooperative patients or periodontal patients with alveolar bone loss.The study aims at assessing the correlation of various clinical indicators with the success or failure of miniscrews used for anchorage during orthodontic treatment.Thirty-four consecutive patients with a cumulative total of 82 miniscrews implanted participated in the study.Generalized Estimating Equations were used to assess the correlation of various factors with success rates.The miniscrew was considered the unit of analysis clustered within site and within patient.The overall success rate of miniscrews was 90.2%.For every additional miniscrew used in a patient＇s oral cavity,the success rate was reduced by 67%.Retromandibular triangle and palatal placement and in movable mucosa resulted in lower success rate.The miniscrew length and diameter were found to correlate with success rates.Orthodontic force applied on miniscrews for uprighting purposes showed a lower success rate than that used for retraction.This study revealed that miniscrews present high success rates.The number of miniscrews used per patient,the miniscrew site placement,the soft tissue type of placement,the miniscrew length and diameter as well as the orthodontic force applied on the miniscrew showed significant correlation with success rates.

Effects of soil nitrate:ammonium ratio on plant carbon:nitrogen ratio and growth rate of Artemisia sphaerocephala seedlings

Can soil nitrate： ammonium ratios influence plant carbon： nitrogen ratios of the early succession plant？ Can plant carbon： nitrogen ratios limit the plant growth in early succession？ To address these two questions, we performed a two-factor （soil nitrate： ammonium ratio and plant density） randomized block design and a uniform-precision rotatable central composite design pot experiments to examine the relationships between soil nitrate： ammonium ratios, the carbon： nitrogen ratios and growth rate of Artemisia sphaerocephala seedlings. Under adequate nutrient status, both soil nitrate： ammonium ratios and plant density influenced the carbon： nitrogen ratios and growth rate of A. sphaerocephala seedlings. Under the lower soil nitrate： ammonium ratios, with the increase of soil nitrate： ammonium ratios, the growth rates of plant height and shoot biomass of A. sphaerocephala seedlings decreased significantly; with the increase of plant carbon： nitrogen ratios, the growth rates of shoot biomass of A. sphaerocephala seedlings decreased significantly. Soil nitrate： ammonium ratios affected the carbon： nitrogen ratios of A. sphaerocephala seedlings by plant nitrogen but not by plant carbon. Thus, soil nitrate： ammonium ratios influenced the carbon： nitrogen ratios of A. sphaerocephala seedlings, and hence influenced its growth rates. Our results suggest that under adequate nutrient environment, soil nitrate： ammonium ratios can be a limiting factor for the growth of the early succession plant.

Comparison of Success Rate and Radiological Bone Loss in Patients with Mini-Implant versus Conventional-Sized Implant Removable Prostheses: A Meta-Analysis

Background: The objective of this meta-analysis was to assess whether mini-implants have added benefit in terms of implants success rate and average bone loss over conventional-sized implants after one year of follow-up. Methods: An electronic search of randomized clinical trials was conducted in MEDLINE (via PubMed), Cochrane Central Register of Clinical Trials (CENTRAL) and Web of Science for studies including complete or partial edentulous patients requiring two or four mini-implants or conventional/ standard-sized implants in the maxilla or mandible for implant-supported removable prostheses who completed 12 months of follow-up. Results: The search provided 194 unique articles which were screened for title and abstract. Screening generated 12 articles which went through full-text analysis using eligibility criteria, and 4 articles were included for meta-analysis. Meta-analysis of these studies indicated a non-significant difference in the success rate between the two interventions (OR = 1.69 [0.74, 3.85;p = 0.21]). Bone loss estimates resulted in a significant bone reduction (Mean Difference = -0.74 [-0.95, -0.53;p < 0.05]) in favor of two mini-implants when compared with two conventional-sized implants, but when compared four mini- with two conventional-sized implants, the estimates were non-significant (Mean Difference = -0.24 [-0.69, 0.20;p = 0.29]). Conclusion: The current evidence does not provide solid evidence of the benefits of one intervention over the other. More studies with follow-up times of 10 and more years are needed as current studies have described the short-term outcomes.

CPA Pass Rates in Texas： A 12-Year Analysis

This research examines the CPA exam pass rates for higher education institutions in Texas. An investigation related to the top schools and AACSB accreditation is conducted as well as analyses related to public vs. private schools, area of the state where the institution is located, and University Systems. The results reflect impressive pass rates by University of Texas at Austin and Texas A＆M University at College Station in terms of both number of students taking the exam and the percentage passing it. There was a significant CPA rate lead with private universities only when the two outstanding public universities were omitted from the analysis. The research also found significant differences in terms of areas of the state as well as university systems. The analysis and the findings are very important to students with CPA exam success as their academic primary goal with their university education, the educational institutions preparing the students, and society as a whole. The fmdings may help guide both the universities and the students to better success with the exam as well as perhaps help taxpayers and legislators know how well tax money is being spent in this area.

Effect of Locking Compression Plate on the Treatment of Limb Fracture and the Effect of Operative Success Rate and Postoperative Recovery Time

Objective:To analyze the effect of locking compression plate on the success rate of operation and the time of postoperative recovery.Methods:120 patients with limb fractures from March 2018 to March 2020 were randomly divided into control group(60 cases)and observation group(60 cases).The control group was treated with plate screw internal fixation,The observation group used locking compression plate internal fixation,Compare the effect of treatment,the success rate of operation and the time of postoperative recovery.results:compared the effective rate of the two groups,the observation group(93.33%)was significantly higher than the control group(75.00%).Compared with the two groups,the success rate of operation and the time of postoperative recovery,the observed composition power was higher than that of the control group,and the postoperative recovery time was lower than that of the control group,P<0.05.Conclusion:The use of locking compression plate for the treatment of limb fracture can significantly increase the probability of successful operation,shorten the recovery time after operation,the overall curative effect is ideal,and the clinical popularization value is high.

Accurate Machine Learning Predictions of Sci-Fi Film Performance

A groundbreaking method is introduced to leverage machine learn-ing algorithms to revolutionize the prediction of success rates for science fiction films.In the captivating world of the film industry,extensive research and accurate forecasting are vital to anticipating a movie’s triumph prior to its debut.Our study aims to harness the power of available data to estimate a film’s early success rate.With the vast resources offered by the internet,we can access a plethora of movie-related information,including actors,directors,critic reviews,user reviews,ratings,writers,budgets,genres,Facebook likes,YouTube views for movie trailers,and Twitter followers.The first few weeks of a film’s release are crucial in determining its fate,and online reviews and film evaluations profoundly impact its opening-week earnings.Hence,our research employs advanced supervised machine learning techniques to predict a film’s triumph.The Internet Movie Database(IMDb)is a comprehensive data repository for nearly all movies.A robust predictive classification approach is developed by employing various machine learning algorithms,such as fine,medium,coarse,cosine,cubic,and weighted KNN.To determine the best model,the performance of each feature was evaluated based on composite metrics.Moreover,the significant influences of social media platforms were recognized including Twitter,Instagram,and Facebook on shaping individuals’opinions.A hybrid success rating prediction model is obtained by integrating the proposed prediction models with sentiment analysis from available platforms.The findings of this study demonstrate that the chosen algorithms offer more precise estimations,faster execution times,and higher accuracy rates when compared to previous research.By integrating the features of existing prediction models and social media sentiment analysis models,our proposed approach provides a remarkably accurate prediction of a movie’s success.This breakthrough can help movie producers and marketers anticipate a film’s triumph before its release,allowing them to tailor their promotional activities accordingly.Furthermore,the adopted research lays the foundation for developing even more accurate prediction models,considering the ever-increasing significance of social media platforms in shaping individ-uals’opinions.In conclusion,this study showcases the immense potential of machine learning algorithms in predicting the success rate of science fiction films,opening new avenues for the film industry.

陕北黄土丘陵区撂荒群落排序及演替

根据2003和2005年分别对36和34块撂荒群落及其生境的调查结果,分析了撂荒群落的排序演替规律、演替速度及演替趋同或趋异性。结果表明:(1)对陕北黄土丘陵区撂荒群落影响较大的因子主要有撂荒年限、海拔、土壤水分含量及变异量、有机质、全氮和速效氮、速效磷等,而坡度、坡向等对撂荒群落分布及动态影响较小;(2)排序图也反映了撂荒演替过程中主要环境因子的变化,即随着撂荒年限的增加,土壤水分含量减少,变异量增加。土壤养分方面,除速效磷呈减少趋势外,土壤有机质,全N、P、K,速效N、K都有增加的趋势;(3)农田撂荒后,群落演替速度有先降低后增大的趋势。提出一个关于撂荒演替速度的分阶段循环往复式的理论模型,认为植被演替从总体上讲是逐渐变慢的,可根据生长、生活型和优势植物种等分为几个阶段,每个阶段初期演替速度较快,以后逐渐变慢达到阶段稳定状态。之后,随着下一阶段主要植物的入侵,阶段稳定状态被打破,演替进入下一阶段。(4)演替趋同、趋异性方面,两年的结果不一致,与样地选择有关。

常绿阔叶林演替系列中木荷和栲树呼吸作用特性的比较

研究了常绿阔叶林演替系列群落中木荷 ( Schima superba)和栲树 ( Castanopsis fargesii)不同发育阶段植株的呼吸作用速率及同一演替阶段木荷和栲树不同发育阶段植株的呼吸作用速率的大小。结果表明 ,在常绿阔叶林演替的各个阶段 ,栲树的呼吸作用速率均比木荷的高 ;在群落演替的前期 ,木荷和栲树的呼吸作用速率均较高 ,但随着群落演替的进展 ,其呼吸作用速率逐渐降低。通过比较常绿阔叶林演替后期木荷和栲树成年树的呼吸作用速率 ,并结合二者的光合作用速率 ,反映了栲树的物质代谢能力较高 ,生长较快 ,是其在常绿阔叶林顶极群落中能够成为优势种 ,而木荷成为次优势种的原因之一。

Retrieval-balloon-assisted enterography for ERCP after Billroth Ⅱ gastroenterostomy and Braun anastomosis

AIM: To describe an optimal route to the Braun anastomosis including the use of retrieval-balloon-assisted enterography.METHODS: Patients who received a Billroth Ⅱ gastroenterostomy(n = 109) and a Billroth Ⅱ gastroenterostomy with Braun anastomosis(n = 20) between January 2009 and May 2013 were analyzed in this study. Endoscopic ret-rograde cholangiopancreatography(ERCP) was performed under fluoroscopic control using a total length of 120 cm oblique-viewing duodenoscope with a 3.7-mm diameter working channel. For this procedure, we used a triplelumen retrieval balloon catheter in which a 0.035-inch guidewire could be inserted into the "open-channel" guidewire lumen while the balloon could be simultaneously injected and inflated through the other 2 lumens.RESULTS: For the patients with Billroth Ⅱ gastroenterostomy and Braun anastomosis, successful access to the papilla was gained in 17 patients(85%) and there was therapeutic success in 16 patients(80%). One patient had afferent loop perforation, but postoperative bleeding did not occur. For Billroth Ⅱ gastroenterostomy, there was failure in accessing the papilla in 15 patients(13.8%). ERCP was unsuccessful because of tumor infiltration(6 patients), a long afferent loop(9 patients), and cannulation failure(4 patients). The papilla was successfully accessed in 94 patients(86.2%), and there was therapeutic success in 90 patients(82.6%). Afferent loop perforation did not occur in any of these patients. One patient had hemorrhage 2 h after ERCP, which was successfully managed with conservative treatment.CONCLUSION: Retrieval-balloon-assisted enterography along an optimal route may improve the ERCP success rate after Billroth Ⅱ gastroenterostomy and Braun anastomosis.

Comparison of intraosseous access and central venous catheterization in Chinese adult emergency patients: A prospective, multicenter, and randomized study

BACKGROUND: It is challenging to establish peripheral intravenous access in adult critically patients. This study aims to compare the success rate of the first attempt, procedure time, operator satisfaction with the used devices, pain score, and complications between intraosseous(IO) access and central venous catheterization(CVC) in critically ill Chinese patients.METHODS: In this prospective clustered randomized controlled trial, eight hospitals were randomly divided into either the IO group or the CVC group. Patients who needed emergency vascular access were included. From April 1, 2017 to December 31, 2018, each center included 12 patients. We recorded the data mentioned above.RESULTS: A total of 96 patients were enrolled in the study. There were no statistically significant differences between the two groups regarding sex, age, body mass index, or operator satisfaction with the used devices. The success rates of the first attempt and the procedure time were statistically significant between the IO group and the CVC group(91.7% vs. 50.0%, P<0.001;52.0 seconds vs. 900.0 seconds, P<0.001). During the study, 32 patients were conscious. There was no statistically significant difference between the two groups regarding the pain score associated with insertion. There were statistically significant differences between the two groups regarding the pain score associated with IO or CVC infusion(1.5 vs. 0.0, P=0.044). Complications were not observed in the two groups.CONCLUSIONS: IO access is a safe, rapid, and effective technique for gaining vascular access in critically ill adults with inaccessible peripheral veins in the emergency departments.

A Novel Improved Bat Algorithm in UAV Path Planning

Path planning algorithm is the key point to UAV path planning scenario.Many traditional path planning methods still suffer from low convergence rate and insufficient robustness.In this paper,three main methods are contributed to solving these problems.First,the improved artificial potential field(APF)method is adopted to accelerate the convergence process of the bat’s position update.Second,the optimal success rate strategy is proposed to improve the adaptive inertia weight of bat algorithm.Third chaos strategy is proposed to avoid falling into a local optimum.Compared with standard APF and chaos strategy in UAV path planning scenarios,the improved algorithm CPFIBA(The improved artificial potential field method combined with chaotic bat algorithm,CPFIBA)significantly increases the success rate of finding suitable planning path and decrease the convergence time.Simulation results show that the proposed algorithm also has great robustness for processing with path planning problems.Meanwhile,it overcomes the shortcomings of the traditional meta-heuristic algorithms,as their convergence process is the potential to fall into a local optimum.From the simulation,we can see also obverse that the proposed CPFIBA provides better performance than BA and DEBA in problems of UAV path planning.

Position-assisted fast handover schemes for LTE-advanced network under high mobility scenarios

Two position-assisted fast handover schemes, scheme A and scheme B, for LTE-A system under very high mobility scenarios, are proposed, together with their performance evaluation. Scheme A is designed to reduce handover delay by making handover preparation before handover starts. Scheme B aims at reducing unnecessary handovers and improving handover success rate, by calculating the geographically best target handover cell, which makes it easier for mobile terminals to access the target cell. A system level simulation is conducted to evaluate the performance of these two schemes. It is shown that, scheme A could reduce inter-site handover delay by about 50 ms, while scheme B could cut down nearly 50% of all handovers when time-to-trigger （TTT） is 0 ms. Besides, as TTT gets larger, Scheme B has much better success rate.

Application of fiberoptic bronchscopy in patients with acute exacerbations of chronic obstructive pulmonary disease during sequential weaning of invasive-noninvasive mechanical ventilation

BACKGROUND:Early withdrawal of invasive mechanical ventilation(IMV) followed by noninvasive MV(NIMV) is a new strategy for changing modes of treatment in patients with acute exacerbations of chronic obstructive pulmonary disease(AECOPD) with acute respiratory failure(ARF).Using pulmonary infection control window(PIC window) as the switch point for transferring from invasive to noninvasive MV,the time for early extubation can be more accurately judged,and therapy efficacy can be improved.This study aimed to prospectively investigate the clinical effectiveness of fiberoptic bronchscopy(FOB) in patients with AECOPD during sequential weaning of invasive-noninvasive MV.METHODS:Since July 2006 to January 2011,106 AECOPD patients with ARF were treated with comprehensive medication and IMV after hospitalization.Patients were randomly divided into two groups according to whether fiberoptic bronchoscope is used(group A,n=54) or not(group B,n=52) during sequential weaning from invasive to noninvasive MV.In group A,for sputum suction and bronchoalveolar lavage(BAL),a fiberoptic bronchoscope was put into the airway from the outside of an endotracheal tube,which was accompanied with uninterrupted use of a ventilator.After achieving PIC window,patients of both groups changed to NIMV mode,and weaned from ventilation.The following listed indices were used to compare between the groups after treatment:1) the occurrence time of PIC,the duration of MV,the length of ICU stay,the success rate of weaning from MV for the first time,the rate of reventilatJon and the occurrence rate of ventilator-associated pneumonia(VAP);2) the convenience and safety of FOB manipulation.The results were compared using Student's f test and the Chi-square test.RESULTS:The occurrence time of PIC was(5.01 ±1.49) d,(5.87±1.87) d in groups A and B,respectively(P<0.05);the duration of MV was(6.98±1.84) d,(8.69±2.41) d in groups A and B,respectively(P<0.01);the length of ICU stay was(9.25±1.84) d,(11.10±2.63) d in groups A and B,respectively(P<0.01);the success rate of weaning for the first time was 96.30%,76.92%in groups A and B,respectively(P<0.01);the rate of reventilation was 5.56%,19.23%in groups A and B,respectively(P<0.05);and the occurrence rate of VAP was 3.70%,23.07%in groups A and B,respectively(P<0.01).Moreover,it was easy and safe to manipulate FOB,and no side effect was observed.CONCLUSIONS:The application of FOB in patients with AECOPD during sequential weaning of invasive-noninvasive MV is effective in ICU.It can decrease the duration of MV and the length of ICU stay,increase the success rate from weaning MV for the first time,reduce the rate of reventilation and the occurrence rate of VAP.In addition,such a method is convenient and safe in patients of this kind.

Outcome of trabeculectomy in hospital Melaka,Malaysia

AIM:To study the success and outcome of trabeculectomy in Hospital Melaka.· METHODS:Medical records of all patients who underwent trabeculectomy between January 1,2007 and October 31,2010 whom were followed up for at least 6 months postoperatively in Hospital Melaka were retrospectively reviewed.· RESULTS:A total number of 117 eyes of 91 patients with the age range between 12 to 84 years underwent primary trabeculectomy(n =20,17.1%),combine trabeculectomy with cataract surgery(n =90,76.9%),repeat trabeculectomy(n=5,4.3%),and combine repeat trabeculectomy with cataract surgery(n =2,1.7%).The disease spectrum includes primary open-angle glaucoma(POAG)(54 patients,59.3%),priamry angle-closure glaucoma(PACG)(14 patients,15.4%),secondary glaucomas(19 patients,20.9%) and juvenile glaucomas(4 patients,4.4%).Preoperative mean intraocular pressure(IOP) was(24.69±8.67)mmHg as compared to postoperative mean IOP of(15.81±6.66)mmHg,(15.07±4.72)mmHg and(15.68±3.65)mmHg at 6-month,12-month and 24-month respectively.Eighty-two point one percent of eyes(n =96) achieved complete success(CS),12.8%(n =15) with qualified success(QS) and only 5.1%(n = 6) failed at 6 month with two of them warrant other filtering surgery.At twelve months,trabeculectomy with CS was 71.6%(n =63),QS in 22.7%(n =20) and failure in 5.7%(n = 5).Sixty-seven point five percent(n =27) attained CS,20.0%(n =8) with QS while 12.5%(n =5) failed at 24 month postoperative.· CONCLUSION:As the understanding of the lower the IOP,the better the patients retaining the visual function,trabeculectomy is significantly a choice of treatment in uncontrolled glaucoma.This study concluded that trabeculectomy performed in Hospital Melaka has produced significant success as compared to other studies.·

Electric Wheelchair Control System Using Brain-Computer Interface Based on Alpha-Wave Blocking

A brain-computer interface(BCI)-based electric wheelchair control system was developed, which enables the users to move the wheelchair forward or backward, and turn left or right without any pre-learning. This control system makes use of the amplitude enhancement of alpha-wave blocking in electroencephalogram(EEG) when eyes close for more than 1 s to constitute a BCI for the switch control of wheelchair movements. The system was formed by BCI control panel, data acquisition, signal processing unit and interface control circuit. Eight volunteers participated in the wheelchair control experiments according to the preset routes. The experimental results show that the mean success control rate of all the subjects was 81.3%, with the highest reaching 93.7%. When one subject's triggering time was 2.8 s, i.e., the flashing time of each cycle light was 2.8 s, the average information transfer rate was 8.10 bit/min, with the highest reaching 12.54 bit/min.

Lumbar-Sacral Plexus Block Anesthesia versus General Anesthesia for Total Hip Arthroplasty: Case Control Study

Background: Peripheral block techniques for total hip arthroplasty have been used as an analgesic strategy, only a few studies described it as an anesthetic technique, so the perioperative performance and safety are poorly studied. Methods: 78 total hip arthroplasties were prospectively observed in our hospital. Divided into 2 groups: 1) General anesthesia;and 2) Lumbar sacral plexus block anesthesia. Variables measured in both groups were: demographics, conversion to general anesthesia, total opioid doses, surgical time, blood loss, postoperative pain, use and total dose of vasopressors drugs, transfusion and ICU transfer needs, postoperative ambulation time, and length of hospital stay. T student and chi-square tests were used upon the case. A significant difference was considered when a value of p < 0.05 was obtained. Descriptive statistics were performed in frequency, percentages, variance and standard deviation. Results: 3 patients (7.3%) anesthetized with combined lumbar sacral plexus block were converted to general anesthesia. When comparing peripheral nerve block and general anesthesia, less intraoperative (p = 0.000) and postoperative (p = 0.002) opioid consumption were noted, less postoperative pain in PACU (p = 0.002) and in the first 24 hours (p = 0.005), as well as earlier onset of ambulation (p = 0.008) and shorter hospital stay (p = 0.031). Conclusions: In our study, the lumbar and sacral plexus block anesthesia technique provided anesthetic conditions to perform hip joint arthroplasty and it was proved to be advantageous in comparison to general anesthesia.