Data Trace Editor (See Compliance/Resp Failure) – normal Tidal Volume w/ spontaneous breathing is 5 ml/kg; – w/ Ventilator, Initially set at 10-15 cc/kg body wt, in Newborns as well as Adults; – adjust as needed w/ ABG; – Tidal vol may need to be increased in individuals w/ Resp acidosis despite adequate frequency of ventialation; – w/ … Read more
– Discussion: – SH III frx involving avulsion of anterolateral tibial epiphysis; – occurs in older adolescents, after the middle and medial parts of epiphyseal plate has closed, but before the lateral part closes (usually 12 to 15 yrs of age); – because, this frx occurs in … Read more
– Discussion: – it has long been recognized that following any significant trauma or elective surgery, the body undergoes a catabolic state, which means that the body’s ability to withstand further stress (such as additional surgery) diminishes with time; – add to this, the effect of immobilization due to pain (pressure sores, atelectasis, poor diet) and … Read more
– see: anesthesia menu – Discussion: – assessment of perfusion: damage control orthopaedics – the most common situation is how to manage the femur fracture in the brain injured patient; – some authors have expressed concern that intraoperative hypoxia and hypotension may commonly occur w/ early IM nail stabilization; … Read more
– PreOp Planning: – tendon transfer is chiefly indicated for stage II tenosynovitis; – subtalar joint must demonstrate nearly a full range of inversion; – early synovectomy of the tendon sheath not only relieves discomfort but will possibly delay or prevent attenuation or rupture; – in … Read more
– Discussion: – on mortise view line formed by subchondral bone of distal tibia & medial spect of the fibula should be continuous; – articlar surface of talus should be congruous w/ that of distal fibula (called tibiofibular line); – disruption of this line indicates: … Read more
– See: – Pen Family – AntiPseudo – Adult: 9-12 gm/ 24 hr; 3.1 gm q6-8hr Injection; 5.4mEq Na/gm; – Clavulanate protects ticarcillin from degradation rom Beta-lactamases; – Ratio CSF to Blood Level(%): Normal Meninges: 6; Inflammed Meninges: 40; – Dosing Regimens for Patients w/ Renal Insufficiency: … Read more
– See: – Timentin – Pen Family – AntiPseudo – There are small differences in the pattern of activity of these agents against gram-negative organisms. Ticarcillin is two to four times more active than carbenicillin against P. aeruginosa; – less active against gram positive organisms; – Dose: … Read more
– Discussion: – see: Stress Frx Menu – proximal 1/3 of tibia is most common site for tibial stress frxs in adolescents, but in runners tibial stress frx occur near junction of middle and distal thirds; – tibia is the most frequent stress fracture location in most series in both athletes and … Read more
– Discussion: – considerations for graft placement – optimal graft angle – land marks for graft entry point – determination of graft length – retention of remnant ligament: – ref: Anterior cruciate ligament reconstruction with remnant preservation: a prospective, randomized controlled study. – Transtibial Technique: – tibial tunnel guide is … Read more