Pain After Knee Arthroplasty: An Ongoing Battle
Day 1 Day 3 Day 30 3 months and over Neuropathic features All surgeries 30 % 12 % 8–10 % 18.3 % 24 % (7–51 %) TKA 58 %…
ANESTHESIA
Cost-Effectiveness of the Various Modalities for Pain Control
Drugs Cost IV Cost per os Cost/day IV Cost/day per os Paracetamol (1 g) $1.12 $0.03 $4.47 $0.11 Ketoprofen (100 mg) $0.98 $0.21 $2.94 $0.41 Nefopam $0.62 $0.62 $3.73 $3.73…
The Rationale for the Use of Multimodal Thromboprophylaxis with Limited Anticoagulation in Patients Undergoing Total Joint Replacement: Arguments Against LMWHs Being Still the Gold Standard
Fig. 5.1 Published rates of fatal PEs and all-cause mortality in patients undergoing hip or knee arthroplasty. This figure represents the lead author in the study, the year of publication,…
Mental Preparation of the Patient to the Arthroplasty Procedure
© Springer International Publishing Switzerland 2015Andrea Baldini and Patrizio Caldora (eds.)Perioperative Medical Management for Total Joint Arthroplasty10.1007/978-3-319-07203-6_10 10. Mental Preparation of the Patient to the Arthroplasty Procedure Jonathan Lorenzo Chiti1 (1) Orthopaedic Unit, IFCA Clinic, Florence, Italy…
Antiplatelet Therapy in Patients with Coronary Stent Undergoing Orthopedic Surgery: Is It Still No Man’s Land?
Low bleeding risk Hand surgery Shoulder and knee arthroscopy Minor spine surgery Intermediate bleeding risk Prosthetic shoulder surgery Major spine surgery Knee surgery (anterior cruciate ligament, osteotomies) Foot surgery High…
LMWHs: Are Still the Gold Standard in Arthroplasty? Arguments in Favor
Sobieraj et al. (2012) Proximal DVT (RR, 95 % CI) PE (OR, 95 % CI) Major bleeding (OR, 95 % CI) LMWH vs. UFH 0.60ª (0.38–0.93) 0.48ª (0.24–0.95) 0.57ª (0.37–0.88) LMWH vs….
What Works and What Does Not Work for Pain Control in Arthroplasty
Drugs Recommended? Evidence level Exceptions Dosing and notes Corticosteroids No, lack of efficacy Grade D NSAIDs Yes, with acetaminophen and opioids in an opioid-sparing multimodal protocol Grade A Not suitable…
A Low Hemoglobin Transfusion Trigger Is Not Dangerous: Arguments Against
Fig. 7.1 Representation of the oxygen pathway, from air to tissues, in mammals The index of availability of oxygen for the tissues/organs is DO2 (oxygen delivery), that is, the product…
Modern Patient Blood Management in Arthroplasty
Preadmission Evaluation Detect anemia and diagnose Detect hemostasis defects and diagnose Anticipate intraoperative blood loss Type and screen Interval Treat anemia (iron, ESAs, vitamin B12, folate) Optimize hemostasis (withdrawal of…
A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor
© Springer International Publishing Switzerland 2015Andrea Baldini and Patrizio Caldora (eds.)Perioperative Medical Management for Total Joint Arthroplasty10.1007/978-3-319-07203-6_6 6. A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor Henrik Husted1 (1) Orthopedic Department, Hvidovre University…
