General Versus Spinal Anesthesia for Total Joint Arthroplasty: A Prospective Randomized Trial
University of Miami
Summary
The purpose of this research is to compare post-operative outcomes from patients undergoing TJA. The study team wants to learn about outcomes like length of hospital stay, post-operative pain scores, post-operative nausea, deep and superficial surgical site infection, periprosthetic fracture (a broken bone that occurs around an orthopaedic implant), implant dislocation, readmission rates, and revision rates.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Patients undergoing a primary total hip or knee arthroplasty * Subjects must be capable of providing informed consent * English or Spanish speaking Exclusion Criteria: Patients with contraindications for spinal anesthesia such as: * Prior lumbar surgery with hardware insertion * Elevated intracranial pressure * Infection at the site of the procedure * Thrombocytopenia or coagulopathy * Severe mitral and aortic stenosis and left ventricular outflow obstruction * Severe spine pathology (spinal stenosis, spondylolisthesis, spondylosis) with radiculopathy and/or neurogeni…
Interventions
- ProcedureGeneral Anesthesia
Participants will receive a one-time general anesthesia dose during the total joint arthroplasty procedure as per standard of care.
- ProcedureSpinal Anesthesia
Participants will receive a one-time spinal anesthesia dose during the total joint arthroplasty procedure as per standard of care.
Location
- University of MiamiMiami, Florida