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Anesthesia for Major Joint Surgery

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Anesthesiology

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Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA

    Scott R. Coleman D.O. & Michael Stuart Green D.O., M.B.A.

Authors
  1. Scott R. Coleman D.O.
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  2. Michael Stuart Green D.O., M.B.A.
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Corresponding author

Correspondence to Michael Stuart Green D.O., M.B.A. .

Editor information

Editors and Affiliations

  1. Hospital University Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Basavana G. Goudra

  2. Department of Anesthesiology, Emory University, Atlanta, Georgia, USA

    Michael Duggan

  3. Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    Vidya Chidambaran

  4. University Hospitals Birmingham, Birmingham, United Kingdom

    Hari Prasad Krovvidi Venkata

  5. Emory University Hospital, Atlanta, Georgia, USA

    Elizabeth Duggan

  6. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Mark Powell

  7. All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India

    Preet Mohinder Singh

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Coleman, S.R., Green, M.S. (2018). Anesthesia for Major Joint Surgery. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_83

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  • DOI: https://doi.org/10.1007/978-3-319-74766-8_83

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74765-1

  • Online ISBN: 978-3-319-74766-8

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