Comparison of General and Spinal Anesthesia in Patients Undergoing Total Hip Arthroplasty
Abstract
BACKGROUND AND OBJECTIVES: Total hip arthroplasty can be performed under spinal and general anesthesia. The
aim of this study was to compare general versus spinal anesthesia and to investigate advantages and disadvantages,
the pain control, length of stay, perioperative and post operative result related to complications.
METHODOLOGY: The study was conducted in the slum vicinity near The University of Lahore adjacent to
Raiwind, Lahore. The perception of health hazards among Ragpickers was assessed hrough a proforma before
the start of the study. The Snowball technique was used to collect data. An analysis among the same population
was done two weeks later after being given awareness about health hazards. The data was analyzed using
chi-square and McNamara Test with p-value <0.05 considered as significant.
RESULTS: The results show that amongst the 150-sample population, the awareness level of the subjects
increased by 50% about all diseases, but the knowledge about personal hygiene practices remained unchanged.
Only 9% were aware of the diseases tetanus, and none of them was aware of hepatitis, etc.; however, after counseling,
they became aware of the common hazards encountered during such work. The awareness level increased
significantly (P<0.001). The data was analyzed using chi-square and paired sample t-tests with p-value <0.05
considered as significant.
CONCLUSION: There was a prominent lack of awareness in the ragpickers included in the study, and after the
intervention, they showed a greater understanding of infectious diseases. Through health care programs sponsored
by the government and NGOs, significant improvement in health among Ragpickers could be seen by
following simple hygiene principles.
KEYWORDS: Disease, Needle, Garbage, Medical Waste, Awareness.
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