Term
Name 4 Caveats to a Basic Hip Arthoplasty |
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Definition
1) Care in positioning
2) Expect Hypotension (BE PREPARED w/ pressers & fluids)
3) Lots of noise and movement (Keep pt adequately SEDATED!)
4) Room will be cold (Keep pt WARM!) |
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Term
During what time will large venous sinuses be exposed? What are we considered w/? |
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Definition
During "reaming of the femur"
The pt will be relatively HYPOTENSIVE equaling an opportunity for emboization of air, fat or blood clot. |
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Term
What is the EBL with a hip arthroplasty? |
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Definition
300-1000 cc EBL
(this is in addition to what has already been lost in the hip prior to surgery & what they will likely loss w/ oozing over the next couple of days)
*Don't be afraid to give PRBC's, cell saver, Hespan, ect.! |
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Term
What is the positioning of the pt during a knee arthroplasty?
Is a tourniquet used? |
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Definition
SUPINE w/ operative leg propped
A tourniquet is usually used |
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Term
What is the EBL for an ankle or foot surgery?
Is a tourniquet used?
How long is an ankle surgery? |
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Definition
Minimal
Yes, you can expect a tourniquet to be used!
An ankle surgery can be lengthy & involve both medial and lateral repairs w/ incisions-so know what they're planning on doing! |
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Term
What type of anesthetic do we use for ankle/foot surgerys? |
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Definition
Most commonly-regional techniques and MAC instead of GA.
If GA is needed-usually an LMA can be used instead of a ETT |
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