– See: Criteria for Extubation – Decrease FiO2 to less than toxic levels ( < 50%) – Use PEEP to wean FiO2; – Maintain Hb Sat > 90% – Decrease mechanical rate: from IMV of 8 to 4 & check ABG – Reduces mean intrathoracic pressure and frequency of exposure to Peak Inspiratory Pressure (PIP); … Read more
– See: Total Hip Replacement Menu: – Insertion of Cementless Femoral Stem: – Radiology of Press Fit Stems: – Removal of Cementless Stems: – Discussion: – indications: – younger patients (less than … Read more
– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pedorthic Footwear Association – Discussion: – foot orthotics – any diabetic patient who lacks protective sensation should have aggressive protective foot care; – diabetic foot should be protected by a padded … Read more
– Discussion: – in sharp clean wounds primary repair is indicated; – by definition primary repair is performed within 7 days of injury; – age of the patient is single most critical factor in sensory recovery after nerve repair, & results are adversely affected by associated … Read more
– See: Knee Joint Menu – Patient Positioning and Preparation: – positioning: – opposite limb is well padded to prevent potential pressure problems; – operative thigh is placed against an arthroscopy post or is placed in a circular thigh immobilizer; … Read more
– Surgical Considerations for Specific Diseases and Conditions: – Medical Assesment: – surgical risk assessment – risk factors for infection: are taken into consideration; – anesthesia consult and posting – anesthesia, medical consderations, and timing for … Read more
– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more
– See: Position of Subtalar Fusion – Discussion: – knee deformities should be corrected prior to any forefoot fusions; – varus hindfoot may have compensatory forefoot valgus w/ plantarflexed 1st ray; – look for cavus type deformity – hammer toes may also be present; … Read more
– IM Nailing Technique – Open Femur Frx – Radiographs: – look for evidence of a pathologic lesion on x-ray, noting that it would be disasterous if a nail were driven through an occult osteosarcoma or chondroscaroma; – AP pelvis: (rule out concomitant injuries) – Hip Dislocation … Read more
– Discussion: – arises from thickening and contracture of pretendinous bands: – inserts into skin distal to MP joint & into tendon sheath does not cause N/V displacement, but is responsible for MP flexion deformities which can be predictably corrected by surgical excision; – at a point just distal … Read more