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Chapter 2.8 - Orthopaedic

from Section 2 - Surgery

Published online by Cambridge University Press:  26 May 2025

Rebecca Leslie
Affiliation:
Royal United Hospitals NHS Foundation Trust, Bath
Emily Johnson
Affiliation:
Worcester Acute Hospitals NHS Trust, Worcester
Gary Thomas
Affiliation:
Cwm Taf Morgannwg University Health Board, Bridgend
Philip Harrington
Affiliation:
West Midlands Deanery, Birmingham
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Summary

You are asked to anaesthetise for an elective orthopaedic list. Your first patient is a 78-year-old woman for a right total knee replacement.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Deloughry, JL, Griffiths, R. Arterial tourniquets. Continuing Education in Anaesthesia, Critical Care and Pain. 2009; 9(2): 5660.CrossRefGoogle Scholar
Kahraman, S, Kilinc, K, Dal, D, Erdem, K. Propofol attenuates formation of lipid peroxides in tourniquet-induced ischaemia-reperfusion injury. British Journal of Anaesthesia. 1997; 78(3): 279281.CrossRefGoogle ScholarPubMed
Orban, JC, Levraut, J, Gindre, S, et al. Effects of acetylcysteine and ischaemic preconditioning on muscular function and postoperative pain after orthopaedic surgery using a pneumatic tourniquet. European Journal of Anaesthesiology. 2006; 23(12): 10251030.CrossRefGoogle ScholarPubMed
NICE Guideline NG39; Major trauma: assessment and initial management. 2022 [cited 30 May 2022]. Available from: www.nice.org.uk/guidance/ng39/evidence/full-guideline-2308122833Google Scholar
McCullough, A, Haycock, J, Forward, D, Moran, C. Early management of the severely injured major trauma patient. British Journal of Anaesthesia. 2014;113(2):234241.CrossRefGoogle ScholarPubMed
Nickson C. Trauma Scoring Systems. Life in the Fast Lane • LITFL. 2022 [cited 30 May 2022]. Available from: https://litfl.com/trauma-scoring-systems/.Google Scholar
Sengupta, S, Shirley, P. Trauma anaesthesia and critical care: The post trauma network era. Continuing Education in Anaesthesia Critical Care and Pain. 2014;14(1):3237.CrossRefGoogle Scholar
Silver Trauma – RCEMLearning [Internet]. RCEMLearning. 2022 [cited 30 May 2022]. Available from: www.rcemlearning.co.uk/foamed/silver-trauma/.Google Scholar

Further Reading

Thakrar, SV, Clevenger, B, Mallet, S. Patient blood management and perioperative anaemia, BJA Education. 2017, 17: 2834.CrossRefGoogle Scholar
Klein, A, Bailey, C, Charlton, A et al. Cell salvage for peri-operative blood conservation. Association of Anaesthetists. September 2018.Google Scholar
Klein, A, Bailey, C, Charlton, A. Anaesthesia and peri-operative care for Jehovah’s Witnesses and patients who refuse blood, Association of Anaesthetists. July 2018.CrossRefGoogle Scholar

Further Reading

Donaldson, J, Thomson, HE, Harper, NJ, et al. Bone cement implantation syndrome. British Journal of Anaesthesia. 2009; 102: 1222.CrossRefGoogle ScholarPubMed
Griffiths, R, Parker, M. Bone cement implantation syndrome and proximal femoral fracture. British Journal of Anaesthesia. 2015; 114: 67.CrossRefGoogle ScholarPubMed
Griffiths, R, White, SM, Moppett, IK, et al. Safety guideline: Reducing the risk from cemented hemiarthroplasty for hip fracture 2015: Association of Anaesthetists of Great Britain and Ireland British Orthopaedic Association British Geriatric Society. Anaesthesia 2015; 70: 623626.Google ScholarPubMed
Khanna, G, Cernovsky, J. Bone cement and the implications for anaesthesia. Continuing Education in Anaesthesia and Critical Care and Pain. 2012; 12: 213216.Google Scholar
Olsen, F, Kotyra, M, Houltz, E, et al. Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture: Incidence, risk factors, and effect on outcome. British Journal of Anaesthesia 2014; 113: 800806.CrossRefGoogle Scholar
Shelton, C, White, S. Anaesthesia for hip fracture repair. British Journal of Anaesthesia. 2020; 20: 142149.Google ScholarPubMed
So, D, Yu, C, Doane, M.A. Bone cement implantation syndrome. Anaesthesia tutorial of the week 2017. https://resources.wfsahq.org/atotw/bone-cement-implantation-syndrome/.Google Scholar

Further Reading

Donaltson, AJ, Thomson, HE, Harper, NJ, Kenny, NW. (2009). Bone cement implantation syndromuBritish Journal of Anaesthesia102, 1222.CrossRefGoogle Scholar
Royal College of Physicians Facing new challenges — the NHFD report on 2020 (January–December 2020). London: RCP, 2021.Google Scholar
Scottish Hip Fracture Anaesthetic Recommendations v1.0, 2020 M.R. Checketts, Consultant Anaesthetist, Ninewells Hospital and Pavan Bangalore, Consultant Anaesthetist, Ninewells Hospital, Incorporating feedback from anaesthetic representatives from all, NHS Scotland health boards. Consultation period Oct–Dec 2020.Google Scholar
Shelton, C, White, S. (2020). Anaesthesia for hip fracture repairBJA Education, 20(5), 142.CrossRefGoogle ScholarPubMed
White, SM, Moppett, IK, Griffiths, R, Johansen, A, Wakeman, R, Boulton, C, Grocott, MPW. (2016). Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP‐2)Anaesthesia71(5), 506514.CrossRefGoogle Scholar

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  • Orthopaedic
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.018
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Orthopaedic
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.018
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Orthopaedic
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.018
Available formats
×