Perioperative Medical Management for Total Joint Arthroplasty

1. Front Matter

   Pages i-xix

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2. Hemostasis Control (Bleeding/Thromboembolism)

   1. Front Matter

      Pages 1-1

      PDF

   2. Modern Patient Blood Management in Arthroplasty

      • Grazia Gentilini, Alvaro Ringressi

      Pages 3-17

   3. How to Reduce Blood Transfusion to a Minimum in Total Knee Arthroplasty

      • Irene Miniati, Caterina Guarducci, Andrea Baldini, Emmanuel Thienpont

      Pages 19-40

   4. Antiplatelet Therapy in Patients with Coronary Stent Undergoing Orthopedic Surgery: Is It Still No Man’s Land?

      • Roberta Rossini, Giuseppe Musumeci, Leonardo Bolognese

      Pages 41-49

   5. LMWHs: Are Still the Gold Standard in Arthroplasty? Arguments in Favor

      • Rosanna Abbate, Maddalena Pazzi, Lorenza Rossi, Gabriele Cioni

      Pages 51-60

   6. 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

      • Erik Schnaser, Alejandro Gonzalez Della Valle, Nigel Sharrock, Eduardo A. Salvati

      Pages 61-72

   7. A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor

      • Henrik Husted

      Pages 73-77

   8. A Low Hemoglobin Transfusion Trigger Is Not Dangerous: Arguments Against

      • Grazia Gentilini, Alvaro Ringressi

      Pages 79-87

   9. Controversy: Should All Patients Undergoing TJA Receive Pre- and Postoperative Ultrasound Screening for Detection of DVT?

      • Massimiliano Marcucci, Pier Francesco Indelli, Angelo Graceffa, Xuan-Phien Pham, Marco Scardino, Antonino Gurgone et al.

      Pages 89-101

3. Pain Control

   1. Front Matter

      Pages 103-103

      PDF

   2. What Works and What Does Not Work for Pain Control in Arthroplasty

      • Giorgio Danelli, Marco Gardini

      Pages 105-113

   3. Mental Preparation of the Patient to the Arthroplasty Procedure

      • Jonathan Lorenzo Chiti

      Pages 115-120

   4. Pain Control Protocols for Hip and Knee Arthroplasty

      • James H. MacDonald

      Pages 121-129

   5. Cost-Effectiveness of the Various Modalities for Pain Control

      • Sandrine Wiramus, David Delahaye, Sébastien Parratte, Jacques Albanese, Jean-Noël Argenson

      Pages 131-139

   6. Pain After Knee Arthroplasty: An Ongoing Battle

      • Irina Grosu, Patricia Lavand’homme, Emmanuel Thienpont

      Pages 141-165

   7. Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation

      • Paolo Adravanti, Giuseppe Calafiore, Aldo Ampollini

      Pages 167-171

   8. Dealing with Pain in a “Fast-Track” Protocol: The Experience of a European Professional

      • Henrik Husted

      Pages 173-178

   9. Dealing with Pain Using a “Fast-Track” (Multimodal) Protocol: The Experience from the United States

      • Priscilla K. Cavanaugh, Snir Heller, Javad Parvizi

      Pages 179-193

   10. Perspectives: Best Techniques for Local Wound Infiltrations

       • Emmanuel Thienpont, Francesco Traverso

       Pages 195-208

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 – hemostasis control, pain control and infection control – 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’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’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.

• Complications in arthroplasty
• Hip and knee arthroplasty
• Medical management in arthroplasty
• Multimodal protocols in arthroplasty
• Quick recovery in arthroplasty
• infectious diseases

• Humanitas Clinical and Research Center, Milan, Italy

  Andrea Baldini

• San Donato Hospital, Arezzo, Italy

  Patrizio Caldora

Policies and ethics