Medical Malpractice Insurance for orthopaedic surgeons

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Percutaneous Discectomy

Percutaneous lumbar discectomy. Review of 100 patients and current practice. Chemonucleolysis in the herniated L3-L4 disk. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. Percutaneous posterolateral discectomy. Anatomy and mechanism. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. A preliminary report. Disc space infection and vertebral osteomyelitis as a … Read more

Penicillamine

– Dose:  – maximum dose for RA patients is 750 mg to 1 g per day; – low doses (125-250 mg) of the drug are used initially with slow-dose titration to reduce the potential for side effects.  – D-penicillamine exhibits similar toxicity profile to IM gold, which includes mucocutaneous reactions, proteinuria, nephrotic syndrome, leukopenia, thrombocytopenia, … Read more

Penicillin Family

Amdinocillin Amoxicillin Ampicillin Augmentin Azlocillin Carbenicillin Cloxacillin Cyclacillin Dicloxacillin Floxacillin Methicillin Mezlocillin Nafcillin Oxacillin Piperacillin Sulbactam Ticarcillin Timentin    

Penicillin G Aqueous

– See: Penicillin Family – DOC for Group A strep, pneumococcus, N. gonorrhea, syphilis; – good for most Gm positive, Streptococcus, Meningitis, Clostridium, Cornybacterium, coliforms, – prophylaxis for bacterial endocarditis;    – Adult: 250-500 mg (400-800 K units) PO qid;    – IV 1.2-24 million units per day; – Strep Pneumonia: 1-2 million units IV q4-6hr; … Read more

PENTAZOCINE/TALWIN

for moderate to severe pain; preop sedation;  Synthetic partial opiate agonist/antagonist;  Dosage:30mg IM or IV; 50-100mg PO q3-4hr prn;  Note that 30-60mg IM equianalgesic to 10mg morphine IM; therefore, use with caution in patients receiving opiate drugs; associated with considerable dysphoria;     KEY SEDATION PAIN OPIOID

Pelvic Osteotomy for DDH

– See: DDH: – Indications for Treatment: – age: pelvic osteotomies are usually performed between ages 3-8 years; – in children > 3 years, open reduction, femoral shortening, & acetabular redirection will provide concentric reduction, will reduce AVN, & will achieve a functional range of motion; – some will even consider pelvic osteotomy in children as … Read more

Pen V Potassium/V Cillin K, PEN VEE K

(See Pen Family) – for Gm positive infections, Streptococcus, N.gonorrhea and Meningitis, Syphylis, Clostridium, Cornybacterium and prophylaxis for endocarditis; – Adult: 250-500mg PO q6hr; Well tolerated oral penicillin; – Also available 200,000 Units (125mg/5ml) 400,000 Units (250mg/5ml) for PO – Solution/suspension– administration; – Note prophylaxis of Bacterial endocarditis: 2.0gm PO 1hr before procedure and 1.0gm PO 6hrs … Read more

PEEP: Discussion

  – every patient should be maintained on at least 5 cm H2O of PEEP;  – objective of optimal PEEP is to reduce the intrapulmonary Shunt;  – since cardiac output may also be decreased, fluid administration or vasoactive drugs may also be required to restore Cardiac Output;  – if pulmonary wedge pressure is grossly elevated, … Read more

Pelvic Fractures Menu

  – See: Acetabular Frx Radiographs Work Up for Pelvic Fracture – Anterior Posterior Compression Injuries – Arterial Anatomy of Lower Limbs – Classification – Crescent Fracture – DVT – External Fixation – Iliac Wing Fractures – Ilioinguinal Approach – Lateral Compression Injuries – Malgaigne Fracture – Neurologic Injury – Pediatric Pelvic Fractures – Posterior Pelvic … Read more

Pelvic Frx: Selection of Pins and Frame Type

– Pin Diameter and Length:     – pins should be at least 5 mm in diameter (such as the Orthofix 6/5 mm self tapping screws);     – resistance to cephalad displacemnt could be approximately doubled by using 5 mm vs. 4 mm half pins for iliac wing fixation, & is further enhanced by adding … Read more