Critical care issues in the patient after major joint replacement
Department of Anesthesiology
Medical Subject Headings
*Arthroplasty, Replacement, Hip; *Arthroplasty, Replacement, Knee; Bone Cements; Cardiovascular Diseases; Critical Care; Embolism, Fat; Humans; Intensive Care Units; Lung Diseases; Polymethyl Methacrylate; Postoperative Care; Postoperative Complications; Risk Factors
Anesthesiology | Orthopedics
Admission rates of orthopedic patients to intensive care units are increasing. Thus, an intensivist's familiarity with specific problems associated with major joint replacement surgery is of utmost importance in order to meet the needs of this particular patient population. In this article, the authors review the most commonly encountered complications after major hip and knee arthroplasty. Perioperative risk factors for morbidity and mortality and the epidemiology, diagnosis, and treatment of cardiopulmonary complications in this patient population are discussed. Procedure-specific complications such as fat embolism and acrylic bone cement-related issues are reviewed.
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Citation: J Intensive Care Med. 2007 Mar-Apr;22(2):92-104. Link to article on publisher's site