Critical care issues in the patient after major joint replacement.
Admission rates of orthopedic patients to intensive care units are increasing. Thus, an intensivist's familiarity with specific problems associated with major joint replacement surgery is of utmost importance in order to meet the needs of this particular patient population. In this article, the authors review the most commonly encountered complications after major hip and knee arthroplasty. Perioperative risk factors for morbidity and mortality and the epidemiology, diagnosis, and treatment of cardiopulmonary complications in this patient population are discussed. Procedure-specific complications such as fat embolism and acrylic bone cement-related issues are reviewed.
Memtsoudis
Stavros G
SG
Department of Anesthesiology, Hospital for Special Surgery, New York, NY 10021, USA. memtsoudiss@hss.edu
Rosenberger
Peter
P
Walz
J Matthias
JM
D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D001843:Bone Cements / Q000009:adverse effects*; D002318:Cardiovascular Diseases / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D003422:Critical Care / Q000379:methods*; D004620:Embolism, Fat / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008171:Lung Diseases / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000401:mortality / Q000628:therapy*; D012307:Risk Factors
D001843:Bone Cements; D019904:Polymethyl Methacrylate