Motor block Contralateral leg numbness Ileus pressure phenomenon Pruritus Epidural hematoma Nausea and vomiting Technical issues In contrast, recent systematic reviews and meta-analyses of the literature (Fowler et al. 2008;…
© Springer International Publishing Switzerland 2015Andrea Baldini and Patrizio Caldora (eds.)Perioperative Medical Management for Total Joint Arthroplasty10.1007/978-3-319-07203-6_15 15. Dealing with Pain in a “Fast-Track” Protocol: The Experience of a European Professional Henrik Husted1 (1) Orthopedic Department,…
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…
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 %…
© 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…
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,…
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…
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…
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…
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….
