Perioperative Medical Management for Total Joint Arthroplasty : How to Control Hemostasis, Pain and Infection

This volume describes the most recent medical guidelines for perioperative management in arthroplasty with the aim of facilitating excellent control of bleeding/thrombosis, pain and infection. For each area {u2013} hemostasis control, pain control and infection control {u2013} hot topics of key practical importance are discussed and contrasting perspectives are presented on controversial issues, covering the views of different practitioners and specialties. Using the information contained in this book, the practitioner will be in an excellent position to meet the principal goals of perioperative medical management. The information provided will assist in the choice of a multimodal guideline that minimizes the complication rate regarding bleeding and thromboembolism while not interfering with the patient{u2019}s recovery. Similarly, effective means of pain control and an optimized pain control protocol are discussed with a view to shortening hospital stay and achieving functional milestones that meet the patient{u2019}s expectations. Finally, host, wound and environmental factors relevant to infection and its prevention are explained, with discussion of the best means of prophylaxis, treatment and imaging. Surgeons, anesthesiologists and all medical practitioners and staff involved in the field of total hip and knee arthroplasty will find this book to be of value in their daily clinical practice. It will assist in the provision of enhanced medical management that ensures quicker recovery of the patient with fewer complications Front Matter....Pages i-xix Front Matter....Pages 1-1 Modern Patient Blood Management in Arthroplasty....Pages 3-17 How to Reduce Blood Transfusion to a Minimum in Total Knee Arthroplasty....Pages 19-40 Antiplatelet Therapy in Patients with Coronary Stent Undergoing Orthopedic Surgery: Is It Still No Man’s Land?....Pages 41-49 LMWHs: Are Still the Gold Standard in Arthroplasty? Arguments in Favor....Pages 51-60 The Rationale for the Use of Multimodal Thromboprophylaxis with Limited Anticoagulation in Patients Undergoing Total Joint Replacement: Arguments Against LMWHs Being Still the Gold Standard....Pages 61-72 A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor....Pages 73-77 A Low Hemoglobin Transfusion Trigger Is Not Dangerous: Arguments Against....Pages 79-87 Controversy: Should All Patients Undergoing TJA Receive Pre- and Postoperative Ultrasound Screening for Detection of DVT?....Pages 89-101 Front Matter....Pages 103-103 What Works and What Does Not Work for Pain Control in Arthroplasty....Pages 105-113 Mental Preparation of the Patient to the Arthroplasty Procedure....Pages 115-120 Pain Control Protocols for Hip and Knee Arthroplasty....Pages 121-129 Cost-Effectiveness of the Various Modalities for Pain Control....Pages 131-139 Pain After Knee Arthroplasty: An Ongoing Battle....Pages 141-165 Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation....Pages 167-171 Dealing with Pain in a “Fast-Track” Protocol: The Experience of a European Professional....Pages 173-178 Dealing with Pain Using a “Fast-Track” (Multimodal) Protocol: The Experience from the United States....Pages 179-193 Perspectives: Best Techniques for Local Wound Infiltrations....Pages 195-208 Front Matter....Pages 209-209 Prevention of Infection: The Host Factors....Pages 211-217 Prevention of Infection: The Wound Factors....Pages 219-233 Environmental Factors and Infection in Total Joint Replacement Surgery....Pages 235-251 Front Matter....Pages 209-209 The Fight Against the Slime: Can We Ever Win?....Pages 253-267 Antibiofilm Strategies in Orthopedics: Where Are We?....Pages 269-286 Perspectives: The Best Prophylaxis for Primary Arthroplasty....Pages 287-295 Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Infectivologist’s Point of View....Pages 297-301 Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Surgeon’s Point of View....Pages 303-314 Perspectives: Prolonged Wound Drainage (7 Days) After Hip Arthroplasty....Pages 315-325 Andrea Baldini, Patrizio Caldora, Editors ; Foreword By Thomas P. Sculco. Includes Bibliographical References. Mode Of Access: World Wide Web.