Kakar P N, Roy Preety Mittal, Pant Vijaya, Das Jyotirmoy
Department of Anesthesiology Pain management and Perioperative care, Fortis Hospital, Shalimar Bagh, New Delhi, India.
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):315-22. doi: 10.4103/0970-9185.83673.
The first joint replacement surgery was performed in 1919. Since then, joint replacement surgery has undergone tremendous development in terms of surgical technique and anesthetic management. In this era of nuclear family and independent survival, physical mobility is of paramount importance. In recent years, with an increase in life expectancy, advances in geriatric medicine and better insurance coverage, the scenario of joint replacement surgery has changed significantly. Increasing number of young patients are undergoing joint replacement for pathologies like rheumatoid arthritis and ankylosing spondylitis. The diverse pathologies and wide range of patient population brings unique challenges for the anesthesiologist. This article deals with anesthetic issues in joint replacement surgery in patients with comorbidities.
首例关节置换手术于1919年进行。从那时起，关节置换手术在手术技术和麻醉管理方面经历了巨大的发展。在这个核心家庭和独立生存的时代，身体活动能力至关重要。近年来，随着预期寿命的增加、老年医学的进步以及更好的保险覆盖范围，关节置换手术的情况发生了显著变化。越来越多的年轻患者因类风湿性关节炎和强直性脊柱炎等病症接受关节置换手术。多样的病症和广泛的患者群体给麻醉医生带来了独特的挑战。本文探讨了合并症患者关节置换手术中的麻醉问题。
