Sarcouncil Journal of Medical Sciences

Abstract: Background: Anesthesia is a critical step in guaranteeing the surgery’s success. As a result, the technique of anesthetic used is critical to the success of patients receiving TKA. Most anaesthesiologists are experienced with general and/or local anesthesia, which is appropriate for TKA. Objective: This study aims to determine the effect of type of anaesthesia on total knee arthroplasty for Iraqi women. Material and Method: In this study, a descriptive cross-sectional study was applied to study the effect of type of anesthesia on total knee arthroplasty for Iraqi women from 5th February 2021 to 6th January 2022. Data were collected for 110 patients in different hospitals in Iraq, where the patients were divided into two groups, the first group of patients, which included patients under general anesthesia, which included 60, and the second group, the control group, which included patients who underwent epidural anesthesia. A statistical study was conducted for patients with osteoporosis using the SPSS program. Results and Discussion: Nowadays, continuous epidural anesthesia and general anesthesia are often used in total knee arthroplasty. In clinical practice, different anesthesia procedures have obvious effects on coagulation function. Epidural anesthesia has been shown to reduce postoperative hypercoagulability and prevent venous thrombosis and pulmonary embolism after surgery. Some investigators have not observed a significant difference in the effect of general anesthesia and epidural anesthesia on coagulation function in surgical patients. In addition, Epidural anesthesia has been shown to reduce postoperative hypercoagulability and prevent venous thrombosis and pulmonary embolism after surgery. Some investigators have not observed a significant difference in the effect of general anesthesia and epidural anesthesia on coagulation function in surgical patients. Conclusion: This study concludes that epidural anesthesia is better and more effective on patients compared to general anesthesia because the percentage of deep aura thrombosis in the group patients is less than in the control group who underwent general anesthesia. In addition, the pain scores in the group of patients who underwent epidural anesthesia were lower than the patients who underwent general anesthesia, as well as the complications were less in the patients under epidural anesthesia who were less likely to have complications than the patients under general anesthesia. In comparison to general anesthesia, epidural anesthesia can lower the incidence of DVT in patients having total knee arthroplasty and has fewer negative effects on patients’ cognitive function and stress state while maintaining a high degree of safety.