Twenty-seven patients who were moderately hypotensive during uncemented total hip replacement were compared with a group of normotensive patients. There was no statistical difference (P < 0.05) in blood loss measured at time of operation, following operation or in the calculated loss. Hypotension, which is known to be dangerous in the elderly, conferred no benefit and should be avoided.
WittmannF.W., RingP.A.. Blood loss associated with Ring uncemented total knee replacement.J R Soc Med1984; 77: 556–8
5.
RainsA.J.H.. Haemorrhage, blood transfusion, shock. In: RainsA.J.H., RitchieH.D., eds. Bailey and Love, Short practice of surgery.17th ed.London: H K Lewis, 1977: 65–81
6.
McKenzieP.J., LoachA.B.. Local anaesthesia for orthopaedic surgery.Br J Anaesth1986; 58: 779–89
7.
de C DeacockA.R.. Anaesthesia for orthopaedic surgery. In: GrayT.C.., eds. General anaesthesia.4th ed.London: Butterworths, 1980: 1171–88
8.
DonaldJ.R.. Induced hypotension and blood loss during surgery.J R Soc Med1982; 75: 149–51
9.
BuchmanM.I.. Blood loss during gynecological operations.Am J Obstet Gynecol1953; 65: 53–64
10.
LazarM.R., KriegerH.A.. Blood loss in vaginal surgery: a comparative study.Obstet Gynecol1959; 13: 707–10
11.
BodmanR.. Blood loss during prostatectomy.Br J Anaesth1959; 31: 484–7
12.
ThorntonJ.A., SaynorR., SchroederH.C., TaylorD.G., VerelD.. Estimation of blood loss with particular reference to cardiac surgery.Br J Anaesth1963; 35: 91–9
13.
WallaceG.. Blood loss in obstetrics using a haemoglobin dilution technique.J Obstet Gynaec Br Cwlth1967; 74: 64–7
14.
JonesR.G.G.. The reduction of bleeding in hare lip and cleft palate surgery.Br J Anaesth1962; 34: 481–8
15.
AmaranathL., CascorbiH.F., Singh-AmaranathA.V., FrankmannD.B.. Relation of anesthesia to total hip replacement and control of operative blood loss.Anesth Analg1975; 54: 641–8
16.
HercusV.M., ReevesT.S., TraceyG.D., RyndleF.F.. Blood loss during surgery.Br Med J1961; ii: 1467–9
SalemM.R., ToyamaT., WongA.Y., JacobsH.K., BennettE.J.. Haemodynamic response to induced arterial hypotension in children.Br J Anaesth1978; 50: 489–94
20.
Barbier-Bohm, DesmontsJ.M., CoudercE., MoulinD., ProkocimerP., OlivierH.. Comparative effects of induced hypotension and normovolaemic haemodilation on blood loss in total hip arthroplasty.Br J Anaesth1980; 52: 1039–43
21.
ThompsonG.E., MillerR.D., StevensW.C., MurrayW.R.. Hypotensive anesthesia for total hip arthroplasty; a study of blood loss and organ function (brain, heart, liver and kidney).Anesthesiology1978; 48: 91–6
22.
DavisN.J., JenningsJ.J., HarrisW.H.. Induced hypotensive anesthesia for total hip replacement.Clin Orthop1974; 101: 93–8
23.
MalloryT.H.. Hypotensive anesthesia in total hip replacement.JAMA1973; 224: 248
24.
RosbergB., FredinH., GustafsonC.. Anaesthetic technique and surgical blood loss in total hip arthroplasty.Acta Anaesth Scand1982; 26: 189–93
25.
KoideM., PilonR.N., VandamL.D., LowellJ.D.. Anaesthetic experience with total hip replacement.Clin Orthop1974; 99: 78–85
PatelD., MoelleringR.L., ThrasherK., FamyN.R., HarrisW.H.. The effect of hypotensive anesthesia on cephalothin concentrations in bone and muscle of patients undergoing total hip replacement.J Bone Joint Surg (Am)1979; 61A: 531–8
EckenhoffJ.E., LeschM.. Deliberate hypotension – A Devil's Advocate Analysis. In: EckenhoffJ.E., ed. Controversy in anesthesiology.Philadelphia: W B Saunders, 1979: 105–113