Major joint surgery of the shoulder, hip, and knee are some of the most commonly performed procedures in the United States. These ‘routine’ surgeries require careful attention, as patients undergoing these procedures are older and have more co-morbidities than in the past. Appropriate use of regional and neuraxial anesthesia can help to reduce complications and improve outcomes. Post-operative pain is a major concern requiring aggressive management. Deep vein thrombosis and pulmonary embolism are common causes of morbidity and mortality that need to be considered. The anesthesia provider should also be cognizant of other considerations such as bone cement syndrome, the use of tourniquets, and fat embolism syndrome. A thorough understanding of potential pitfalls and optimal techniques for major joint surgery will result in better patient outcomes and satisfaction.
KeywordsArthroplasty Replacement Hip Arthroplasty Replacement Knee Arthroplasty Replacement Shoulder Embolism Fat Polymethyl methacrylate Patient Positioning
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