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Case 22: Knee Joint Replacement

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Complications and Mishaps in Anesthesia

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Abstract

Anesthesiology resident Dr. Sofia returned to work rejuvenated from her summer vacation. She was in her third year and recently rotated to orthopedics. Finally she could learn regional anesthesia techniques from the ground up. This is what she had been missing from her residency training. She entered the OR ready to get to work!

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Literature

  1. American Society of Anesthesiologists. Guidelines for patient care in anesthesiology. Approved by the ASA House of Delegates on 3 Oct 1967, and last amended on 9 Oct 2011. www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx.

  2. American Society of Anesthesiologists. Statement comparing anesthesiologist assistant and nurse anesthetist education and practice. Approved by the ASA House of Delegates on 17 Oct 2007, and last amended on 17 Oct 2012. www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx.

  3. American Society of Anesthesiologists. Statement on the anesthesia care team. Approved by the ASA House of Delegates on 18 Oct 2006, and last amended on 21 Oct 2009. www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx.

  4. Berman AT, Parmet JL, Harding SP, Israelite CL, Chandrasekaran K, Horrow JC, Singer R, Rosenberg H. Emboli observed with use of transesophageal echocardiography immediately after tourniquet release during total knee arthroplasty with cement. J Bone Joint Surg Am. 1998;80:389–96.

    CAS  PubMed  Google Scholar 

  5. Corman SL, Skledar SJ. Use of lipid emulsion to reverse local anesthetic-induced toxicity. Ann Pharmacother. 2007;41:1873–7.

    Article  CAS  PubMed  Google Scholar 

  6. Crews JC, Cahall MA. An investigation of the neurophysiologic mechanisms of tourniquet-related pain: changes in spontaneous activity and receptive field size in spinal dorsal horn neurons. Reg Anesth Pain Med. 1999;24:102–9.

    CAS  PubMed  Google Scholar 

  7. Entschließung des BDA. Zulässigkeit und Grenzen der Parallelverfahren in der Anästhesiologie. Anästh Intensivmed. 1989;30:56–7.

    Google Scholar 

  8. Felice K, Schumann H. Intravenous lipid emulsion for local anesthetic toxicity: a review of the literature. J Med Toxicol. 2008;4:184–91.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Gemeinsame Stellungnahme des BDA und der DGAI zur Parallelnarkose. Münsteraner Erklärung. Anästh Intensivmed. 2005;46:32–4.

    Google Scholar 

  10. Jung C, Inder WJ. Management of adrenal insufficiency during the stress of medical illness and surgery. Med J Aust. 2008;188:409–13.

    PubMed  Google Scholar 

  11. Kam PC, Kavanagh R, Yoong FF. The arterial tourniquet: pathophysiological consequences and anaesthetic implications. Anaesthesia. 2001;56:534–45.

    Article  CAS  PubMed  Google Scholar 

  12. Litz RJ, Rössel T, Heller AR, Stehr SN. Reversal of central nervous system and cardiac toxicity after local anesthetic intoxication by lipid emulsion injection. Anesth Analg. 2008;106:1575–7.

    Article  PubMed  Google Scholar 

  13. Mather LE, Copeland SE, Ladd LA. Acute toxicity of local anesthetics: underlying pharmacokinetic and pharmacodynamic concepts. Reg Anesth Pain Med. 2005;30:553–66.

    CAS  PubMed  Google Scholar 

  14. Schulz-Stübner S. Panic attacks and hyperventilation may mimic local anesthesia toxicity. Reg Anesth Pain Med. 2004;29:617–8.

    Article  PubMed  Google Scholar 

  15. Valli H, Rosenberg PH, Kyttä J, Nurminen M. Arterial hypertension associated with the use of a tourniquet with either general or regional anaesthesia. Acta Anaesthesiol Scand. 1987;31:279–83.

    Article  CAS  PubMed  Google Scholar 

  16. Warren JA, Thoma RB, Georgescu A, Shah SJ. Intravenous lipid infusion in the successful resuscitation of local anesthetic-induced cardiovascular collapse after supraclavicular brachial plexus block. Anesth Analg. 2008;106:1578–80.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, 01307, Dresden, Germany

    Katharina Martin MD, Mike Hänsel & Matthias Hübler MD, DESA

  2. Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA

    Karen B. Domino MD, MPH

Authors
  1. Katharina Martin MD
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  2. Mike Hänsel
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  3. Karen B. Domino MD, MPH
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  4. Matthias Hübler MD, DESA
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Corresponding author

Correspondence to Matthias Hübler MD, DESA .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, University Hospital Carl Gustav Carus, Dresden, Germany

    Matthias Hübler

  2. Department of Anesthisology, University Hospital Carl Gustav Carus, Dresden, Germany

    Thea Koch

  3. Department of Anesthesiology, University of Washington, Seattle, Washington, USA

    Karen B. Domino

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© 2014 Springer-Verlag Berlin Heidelberg

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Martin, K., Hänsel, M., Domino, K.B., Hübler, M. (2014). Case 22: Knee Joint Replacement. In: Hübler, M., Koch, T., Domino, K. (eds) Complications and Mishaps in Anesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45407-3_22

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  • DOI: https://doi.org/10.1007/978-3-642-45407-3_22

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45406-6

  • Online ISBN: 978-3-642-45407-3

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