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British Journal of Anaesthesia, 1982, Vol. 54, No. 5 491-495
© 1982 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

BLOOD LOSS IN TOTAL HIP REPLACEMENT: EXTRADURAL v. PHENOPERIDINE ANALGESIA

S. P. CHIN, M.D, M. N. ABOU-MADI, M.D F R C P (c), B. EURIN, M.D, J. WITVOËT, M.D and J. MONTAGNE, M.D

Department of Anaesthesiology, St Louis Hospital, University of Paris Paris, France
Department of Anaesthesiology and Neurology and Neurosurgery, Montreal Neurological Institute and McGill University Montreal, Quebec, Canada.
Department of Orthopaedic Surgery, St Louis Hospital, University of Paris Paris, France

Correspondence to S.P.C., Department of Anaesthesiology, Hospital St. Louis, 40, rue Bichat, 75010, Paris, France.

The effects of phenopendine and extradural analgesia on blood loss during and after total hip replacement were compared in 41 patients randomly divided into two statistically comparable groups. Mean blood loss in patients who received phenoperidine was 1065 ± 316ml and in patients who received extradural analgesia with 0 5% bupivacaine with adrenaline 1:200 000 it was 650 ±277 ml (P <0 001). There was no significant difference in postoperative blood loss between the two groups The reduction in blood loss resulting from the extradural block may prove beneficial in decreasing the hazard and cost of blood transfusions and in facilitating autologous transfusion.


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