227. Care of the Orthopedic Patient

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227. Care of the Orthopedic Patient

 

 

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COURSE NUMBER: 227

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Syllabus

Part I Preoperative Considerations
1 General Principles and Practices of Perioperative Medicine ………… 3
C. Ronald MacKenzie
2 The Prevalence of Disabling Musculoskeletal Conditions and the Demand
for Orthopedic Surgery in the Twenty-First Century . . . . . . . . . . . . . . . . . . 13
Anas Saleh and Charles N. Cornell
3 The Connective Diseases: The Rheumatologist’s Perspective . . . . . . . . . . . . 25
Susan S. Kim, C. Ronald MacKenzie, and Stephen Paget
4 The Pathophysiologic Events of Total Joint Replacement Surgery . . . . . . . . 41
Stavros G. Memtsoudis
Part II Anesthesiologic Management
5 Anesthesia in the Orthopedic Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Shawna Dorman and Richard L. Kahn
6 Pediatric Anesthesia for Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . 63
Kathryn R. DelPizzo, Naomi Dong, and Carrie R. Guheen
7 Anesthetic Techniques and Their Clinical Application for Specific
Orthopedic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Ottokar Stundner and Cephas P. Swamidoss
8 The Role of the Post-anesthesia Care Unit in the Perioperative Care
of the Orthopedic Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Michael K. Urban
9 Postoperative Pain Management in the Orthopedic Setting . . . . . . . . . . . . . 101
Cassie Kuo and Spencer S. Liu
Part III Medical Management in Specific Clinical Settings
10 Perioperative Care of the Orthopedic Patient with Connective Tissue
Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Susan M. Goodman
11 Perioperative Care of the Orthopedic Patient with Cardiac Disease . . . . . . 125
Lawrence F. Levin
12 Perioperative Care of the Orthopedic Patient with Chronic Pulmonary
Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Kethy M. Jules-Elysee
13 Perioperative Care of the Orthopedic Patient with Renal Disease . . . . . . . . 151
James M. Chevalier

14 Perioperative Care of the Orthopedic Patient with Diabetes Mellitus . . . . . 167
C. Ronald MacKenzie and Naina Sinha Gregory
15 Perioperative Care of the Orthopedic Patient with Gastrointestinal and
Liver Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Melissa H. Rosen and Charles Maltz
16 Perioperative Care of the Orthopedic Patient with Neurological Disease . . . 185
Dale J. Lange, Alexander Shtilbans, Brion Reichler, and Dora Leung
17 Perioperative Care of the Patient with Psychiatric Disease . . . . . . . . . . . . . 197
John W. Barnhill
Part IV Specific Perioperative Problems in Orthopedic Surgery
18 Perioperative Care of the Elderly Orthopedic Patient . . . . . . . . . . . . . . . . . 209
C. Ronald MacKenzie and Charles N. Cornell
19 Venous Thromboembolism and Orthopedic Surgery . . . . . . . . . . . . . . . . . . 221
Anne R. Bass
20 Coagulation Disorders and Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . 231
C. Ronald MacKenzie
21 Perioperative Nutrition in the Orthopedic Surgical Patient . . . . . . . . . . . . . 239
Christie L. Custodio-Lumsden and Sotiria Everett
22 Infection and Perioperative Orthopedic Care . . . . . . . . . . . . . . . . . . . . . . . . 259
Andy O. Miller and Barry D. Brause
23 Risk and Benefits of Bilateral Total Knee Replacement Surgery . . . . . . . . . 267
Ettore Vulcano, Alejandro Gonza ´lez Della Valle, and Stavros G. Memtsoudis
24 Compartment Syndrome and Orthopedic Surgery: Diagnosis
and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Matthew R. Garner, Samuel A. Taylor, Milton T.M. Little, and John P. Lyden
25 Bone Health and Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Linda A. Russell
26 Perioperative Care of the Complex Spine and Scoliosis Surgery Patient . . . 297
Darren R. Lebl and Michael K. Urban
27 Management of Blood Products in Orthopedic Surgery . . . . . . . . . . . . . . . . 311
Jad Bou Monsef, Michelle Perna, and Friedrich Boettner
Part V Role of Allied Services
28 Professional Nursing Practice in the Orthopedic Care Setting . . . . . . . . . . . 333
Stephanie Goldberg and Patricia Quinlan
29 The Approach to Physical Therapy Following Orthopedic Reconstructive
Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339
Janet B. Cahill and Jeme Cioppa Mosca
30 Quality Improvement in the Perioperative Orthopedic Setting . . . . . . . . . . 347
Michelle Horva ´th and Steven K. Magid
31 Introduction of Clinical Pathways in Orthopedic Surgical Care:
The Experience of the Hospital for Special Surgery . . . . . . . . . . . . . . . . . . . 365
Shivi Duggal, Susan Flics, and Charles N. Cornell
32 Ethical Considerations in Perioperative Orthopedic Medicine . . . . . . . . . . . 373
M. Michael Khair, Douglas S.T. Green, and C. Ronald MacKenzie
xii Contents

Appendix: Case Studies
Appendix A: Case Study for Chapter 4 on the Pathophysiologic Events of
Total Joint Replacement Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381
Stavros G. Memtsoudis
Appendix B: Case Study for Chapter 5 on Anesthesiology in the Orthopedic
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383
Shawna Dorman and Richard L. Kahn
Appendix C: Case Study for Chapter 6 on Pediatric Anesthesia for Orthopedic
Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385
Kathryn R. DelPizzo, Naomi Dong, and Carrie R. Guheen
Appendix D: Case Study for Chapter 7 on Anesthetic Techniques and Their
Clinical Application for Specific Orthopedic Procedures . . . . . . . . . . . . . . . . . . . 387
Cephas P. Swamidoss and Ottokar Stundner
Appendix E: Case Study for Chapter 8 on the Role of the Post-anesthesia
Care Unit in the Perioperative Care of the Orthopedic Patient . . . . . . . . . . . . . . 389
Michael K. Urban
Appendix F: Case Study for Chapter 9 on Postoperative Pain Management
in the Orthopedic Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 391
Cassie Kuo and Spencer S. Liu
Appendix G: Case Study for Chapter 10 on Perioperative Care of the
Orthopedic Patient with Connective Tissue Disease . . . . . . . . . . . . . . . . . . . . . . . 393
Susan M. Goodman and Stephen Paget
Appendix H: Case Study for Chapter 11 on Perioperative Care of the
Orthopedic Patient with Cardiac Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395
Lawrence F. Levin
Appendix I: Case Studies for Chapter 13 on Perioperative Care of the
Orthopedic Patient with Renal Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
James M. Chevalier
Appendix J: Case Studies for Chapter 15 on Perioperative Care of the
Orthopedic Patient with Gastrointestinal and Liver Issues . . . . . . . . . . . . . . . . . 399
Melissa H. Rosen and Charles Maltz
Appendix K: Case Studies for Chapter 17 on Perioperative Care of the
Orthopedic Patient with Psychiatric Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401
John W. Barnhill
Appendix L: Case Study for Chapter 22 on Infection and Perioperative
Orthopedic Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403
Andy O. Miller and Barry D. Brause
Appendix M: Case Study for Chapter 23 on Risk and Benefits of Bilateral
Total Knee Replacement Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405
Ettore Vulcano, Alejandro Gonza ´lez Della Valle, and Stavros G. Memtsoudis
Appendix N: Case Studies for Chapter 24 on Compartment Syndrome and
Orthopedic Surgery: Diagnosis and Management . . . . . . . . . . . . . . . . . . . . . . . . 407
Matthew R. Garner, Samuel A. Taylor, Milton T.M. Little, and John P. Lyden

Appendix O: Case Studies for Chapter 25 on Bone Health and Orthopedic
Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
Linda A. Russell
Appendix P: Case Study for Chapter 27 on Management of Blood Products in
Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411
Jad Bou Monsef, Michelle Perna, and Friedrich Boettner
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

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