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THA • Usually Elderly Pt • if a Revision →

THA • Usually Elderly Pt • if a Revision →

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Published by hollyu

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Published by: hollyu on Nov 19, 2009
Copyright:Attribution Non-commercial


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Usually elderly Pt
If a revision
blood loss and it takes longer 
Epidural or GA
Look for the cause of arthritis
# due to CV disease (syncope) avascular necrosisdue steroids, infarction (sickle cell disease)
Spinal Vs GA
less risk of PE with spinal and
blood lossA, B, C
look under elderly, and other co-existing diseases
Consider Autologus blood donation
Lab: ECG, CBC….. depend on the co-existing diseases
If suspect a difficult A/W
GA, due to position
Intra-op: risk of PE (cement, BM, fat) consider art-line in Pt with CV disease
Post-op: need to anticoagulated, pain epidural or PCA
DDx of circulatory collapse intra-op: PE, MI, total spinal, anaphylaxis

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