Term
| In shoulder arthroscopy, what can result from tension pneumo & has s/s of pleuritic chest pain, dyspnea, and subQ emphysema? |
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Definition
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Term
| What is the tx for pneumomediastinum? |
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Definition
| Tx may not be necessary. Can increase FIO2 or place a chest tube. |
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Term
| What are considerations for SHOULDER arthroplasty? |
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Definition
-beach chair position likely
-possibility for VAE
-Very high pain scores (consider intrascalene blocks [ISB])
-positional hypotesion
-min. EBL
-surg time ~2 hrs
-ETT vs LMA |
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Term
| What is typical in ankle, knee, hip, wrist, and elbow arthroscopy? |
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Definition
-supine position
-may/may not use tourniquet
-GA vs Regoinal
-low pain score
-typically ~45min |
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Term
| What are some general considerations for arthroplasty? |
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Definition
-Pts usually older, obese, generally unhealthy, HTN, diabetes, decreased activity d/t pain.
-very high pain scores
-require early ambulation post-op
-positioning problems
-lengthy surgeries
**re-do surgeries are longer & bloodier than initial surgery** |
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Term
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Definition
| The surgical replacement of all or part of a joint. |
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Term
| What is the point of significant blood loss during a femoral arthroplasty? |
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Definition
| When venous sinuses are opened/destroyed during femoral canal & acetabulum "reaming" to accommodate a prosthetic. |
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Term
| Why do hip arthroplasties have less intracapsular blood loss than extracapsular fractures? |
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Definition
| The bleeding is contained within the joint capsule. |
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Term
| What are the mortality rates for hip arthroplasties? |
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Definition
10% mortality during initial hospitalization.
20% mortality within the first year |
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