Difference between revisions of "Knee arthroplasty"

From WikiAnesthesia
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{{Infobox surgical procedure
{{Infobox surgical procedure
| anesthesia_type =  
| anesthesia_type = GA
| airway =  
Spinal
| lines_access =  
| airway = GA: ETT/LMA
| monitors =  
| lines_access = PIV
| monitors = Standard
5-lead
| considerations_preoperative =  
| considerations_preoperative =  
| considerations_intraoperative =  
| considerations_intraoperative =  
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=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
* Adductor canal block
* Femoral nerve block +/- lateral femoral cutaneous
* Sciatic nerve block
Note: Some surgeons will perform a periarticular injection with a long-lasting local anesthetic (i.e. liposomal bupivicaine) prior to emergence. 


== Intraoperative management ==
== Intraoperative management ==


=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
* Standard ASA monitors
* PIV


=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

Revision as of 18:40, 4 April 2022

Knee arthroplasty
Anesthesia type

GA Spinal

Airway

GA: ETT/LMA

Lines and access

PIV

Monitors

Standard 5-lead

Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
Article quality
Editor rating
In development
User likes
0

Knee arthroplasty is a surgical procedure to resurface a knee damaged by arthritis.

Overview

Indications

  • Knee arthritis (inflammatory) or arthrosis (non-inflammatory degeneration)
  • Infected knee
  • Loose or malpositioned knee prothesis

Surgical procedure

Preoperative management

Patient evaluation

System Considerations
Airway
Neurologic Arthritis may impair neck ROM or cause cervical nerve root compression.
Cardiovascular Patients with arthritis may have limited exercise tolerance due to knee pain, thus impairing assessment of cardiovascular function. Stress echo may be needed for cardiac evaluation.
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other Patients may have rheumatoid arthritis

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

  • Adductor canal block
  • Femoral nerve block +/- lateral femoral cutaneous
  • Sciatic nerve block


Note: Some surgeons will perform a periarticular injection with a long-lasting local anesthetic (i.e. liposomal bupivicaine) prior to emergence.

Intraoperative management

Monitoring and access

  • Standard ASA monitors
  • PIV

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References