Anesthesia for Total Hip and Knee Arthroplasty

Anesthesia for Total Hip and Knee Arthroplasty
by
Nigel E. Sharrock, MB, ChB
Dept. of Anesthesiology, Hospital for Special Surgery
New York, NY

Typical approach
* Describe anesthesia technique

Rather
* Describe issues with THA and TKA
* How anesthesia can modify

Hypotensive Anesthesia
Hypotensive Epidural Anesthesia
Thromboembolism – THR
Selective Heparinization during Total Hip Arthroplasty
Pain – THA
Analgesia
Mortality
Spinal/Epidural Anesthesia
Total Knee Arthroplasty
and more are covered in this presentation.

Anesthesia for Total Hip and Knee Arthroplasty

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Surgical Anesthesia Components

Surgical Anesthesia Components
by
Jose D. Chinchilla, LVT, RLATG
Training Coordinator
Priority One Services

A Components Introduction
Anesthesia Components

o Frame
o Regulator
o Flowmeter
o Oxygen Flush Assembly
o Vaporizer
o Anesthetic Supply System
o Scavenging System
o Anesthesia Machine

Anesthesia Components Introduction

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Wherry's Anesthesia Coverage Keys to Success

Wherry's Anesthesia Coverage Keys to Success PPT
by
Thomas Wherry, M.D.
Anesthesiologist, Surgery Center of Maryland
Consulting Medical Director, Health Inventures
May 15, 2008

Anesthesia Coverage
Real Scenarios
The Challenges

* What should an ASC expect?
* What does an Anesthesia Group want?
* Anesthesiologists, CRNAs & AAs
* Coverage choices
* Solution to real scenarios



Examples of Clinical Input
Clinical Input: Pre-Operative Preparation
Preoperative Tests
Competency/Consistency
Compliance (with the policies and standards)
* Center policies
* ASA/AANA Standards
* Accrediting Body Standards
* OSHA
* CMS/Medicare
* Community Standards
What does an Anesthesia Group really want (& need)?
Cases
Compensation
Who regulates the anesthesia providers?
Facts about Anesthesiologists and much more topics are covered in this presentation.

http://ascassociation.org/slides2008/Wherry%20Anesthesia%20Coverage%20Keys%20to%20Success.ppt

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