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British Journal of Anaesthesia, 1985, Vol. 57, No. 9 853-857
© 1985 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

EFFECTS OF ANAESTHETIC TECHNIQUE ON DEEP VEIN THROMBOSIS

A Comparison of Subarachnoid and General Anaesthesia

P. J. McKENZIE, M.D., F.F.A.R.C.S.*,, H. Y. WISHART, F.F.A.R.C.S., I. GRAY, F.R.C.S{dagger} , and G. SMITH, M.D., F.F.A.R.C.S{ddagger},

Departments of Anaesthesia and Orthopaedic Surgery,Western Infirmary Glasgow

Correspondence to P. J. McK.

Forty patients with fractured neck of femur were allocated randomly to undergo surgery under general anaesthesia (GA) or subarachnoid anaesthesia (SAB). After operation, the incidence of deep vein thrombosis (DVT), assessed by venography, was found to be 40% in the SAB group, which was significantly lower than the incidence (76.2%) in the GA group. These observations may account for the previously reported effect of SAB, in comparison with GA, in reducing early postoperative mortality in this category of patient.

*Nuffield Department of Anaesthetics, Radcliffe Infirmary,Oxford OX2 6HE.

{dagger}Department of Orthopaedic Surgery, Royal Liverpool Hospital,Liverpool L7 8XP.

{ddagger}University Department of Anaesthesia, Leicester Royal Infirmary, Leicester LEI 5WW.


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