Abstract
In this chapter we review key anesthetic considerations for orthopedic procedures. Orthopedic surgeries currently account for a significant portion of the 48 million inpatient surgeries performed annually in the United States. Key considerations include choice of anesthesia type (general anesthesia and regional approaches), the implications of surgical bone cement, and management of risk of thromboembolism following pelvic, hip, and leg surgeries. Additionally, there are special considerations when tourniquets are employed, related to accumulation of acid metabolites which can lead to hemodynamic changes, pain, and thromboembolism. Finally, fat embolism syndrome is a specific entity that must be considered for patients with dyspnea, confusion, and petechiae following long bone surgery.
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Sloan, E.R., Ehrenfeld, J.M. (2022). Orthopedic Surgery. In: Ehrenfeld, J.M., Urman, R.D., Segal, B.S. (eds) Anesthesia Student Survival Guide. Springer, Cham. https://doi.org/10.1007/978-3-030-98675-9_27
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DOI: https://doi.org/10.1007/978-3-030-98675-9_27
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