Decision-Making in Orthopedic and Regional Anesthesiology

Decision-Making in Orthopedic and Regional Anesthesiology

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In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.(SuboxoneAr). Buprenorphine/naloxone (SuboxoneAr) is apartial opioid agonist/ antagonist (Table 24.4). ... Buprenorphine withdrawal peaks at three to four days and symptoms may persist for seven days [17]. ... As such, its effects can inhibit the efficacy of opioids in the postoperative course and patients are likely to experience poor postoperative analgesia from opiates. This can lead ... Resolution of buprenorphine/naloxone effects typically occurs 24 to 72 hours after the last dose [22].

Title:Decision-Making in Orthopedic and Regional Anesthesiology
Author:Michael R. Anderson, Sylvia H. Wilson, Meg A. Rosenblatt
Publisher:Cambridge University Press - 2015-09-30


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