Baldini A., Caldora P. (eds.) Perioperative Medical Management for Total Joint Arthroplasty: How to Control Hemostasis, Pain and Infection

Springer, 2015. — 325 p. — ISBN: 978-3-319-07202-9.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.Hemostasis Control (Bleeding/Thromboembolism).
Modern Patient Blood Management in Arthroplasty.
How to Reduce Blood Transfusion to a Minimum in Total Knee Arthroplasty.
Antiplatelet Therapy in Patients with Coronary Stent Undergoing Orthopedic Surgery: Is It Still No Man’s Land?
LMWHs: Are Still the Gold Standard in Arthroplasty? Arguments in Favor.
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.
A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor.
A Low Hemoglobin Transfusion Trigger Is Not Dangerous: Arguments Against.
Controversy: Should All Patients Undergoing TJA Receive Pre- and Postoperative Ultrasound Screening for Detection of DVT?
Pain Control.
What Works and What Does Not Work for Pain Control in Arthroplasty.
Mental Preparation of the Patient to the Arthroplasty Procedure.
Pain Control Protocols for Hip and Knee Arthroplasty.
Cost-Effectiveness of the Various Modalities for Pain Control.
Pain After Knee Arthroplasty: An Ongoing Battle.
Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation.
Dealing with Pain in a “Fast-Track” Protocol: The Experience of a European Professional.
Dealing with Pain Using a “Fast-Track” (Multimodal) Protocol: The Experience from the United States.
Perspectives: Best Techniques for Local Wound Infiltrations.
Infection Control.
Prevention of Infection: The Host Factors.
Prevention of Infection: The Wound Factors.
Environmental Factors and Infection in Total Joint Replacement Surgery.
The Fight Against the Slime: Can We Ever Win?
Antibiofilm Strategies in Orthopedics: Where Are We?
Perspectives: The Best Prophylaxis for Primary Arthroplasty.
Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Infectivologist’s Point of View.
Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Surgeon’s Point of View.
Perspectives: Prolonged Wound Drainage (7 Days) After Hip Arthroplasty.