Safety, quality & education

The Impact of Anaesthesia Method on the Use of Anaesthesia Department Resources in Total Knee Arthroplasty

Acta Anaesthesiol ScandPublished randomised trial

Primary result · Operating room timeResult — go to the resultHodges-Lehmann estimate 2 min 95% CI −3 to 6

Authors' conclusion

With this anaesthesia regimen, knee arthroplasty patients occupied the operating room for a similar duration regardless of anaesthesia method, but patients required longer recovery in the postanaesthesia care unit after spinal anaesthesia. Regarding disposable material and medicine use, spinal anaesthesia appeared to be more economical and material-sparing than total intravenous anaesthesia. Furthermore, spinal anaesthesia appeared to cause less hypotension requiring haemodynamic interventions than general anaesthesia.

Study context

Population
Patients undergoing total knee arthroplastyrandomised
Participants
395 patients
Comparison
Spinal vs general anaesthesia

Primary result

Operating room time

Hodges-Lehmann estimate

2 min

95% CI −3 to 6

P = 0.49

By group

SPINAL vs GENERAL
Hodges-Lehmann estimate 2 min (95% CI −3 to 6); P = 0.49

As reported in the abstract

Further findings

Median, min

OutcomeSPINALGENERALHodges-Lehmann estimate (min) (95% CI)P value
Time in the postanaesthesia care unitLonger after spinal anaesthesia104 (IQR 71–148)73 (IQR 49–98)32 (23–42)P < 0.001

Disposable material

OutcomeSPINALGENERAL
Total costs (medicine and equipment)€36€83

Medication for hypotension and hypertension

Medication for hypotension was more common in the general anaesthesia group, whereas medication for hypertension was more common in the spinal anaesthesia group

Original publication

The Impact of Anaesthesia Method on the Use of Anaesthesia Department Resources in Total Knee Arthroplasty. Acta Anaesthesiol Scand. Published 16 October 2026. doi:10.1111/aas.70359

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