Decision-Making in Orthopedic and Regional Anesthesiology A Case-Based Approach

In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.

List of contributors; Preface; Part I. General Considerations in Regional Anesthesia: 1. Non-opioid analgesics in orthopedic surgery Hanni Monroe; 2. Nerve localization techniques Graeme McLeod; 3. Adjuncts to peripheral nerve blocks Gregory Schnepper and Sylvia H. Wilson; 4. Local anesthetics Sarah Madison; 5. Liposomal local anesthetics Hrishikesh C. Modi and Nicholas Lam; 6. Local anesthetic systemic toxicity Jordan F. Wicker and Meg A. Rosenblatt; 7. Post-procedure neurologic deficit H. David Hardman; 8. Pre-emptive analgesia Ryan Derby; Part II. Special Patient Considerations: 9. Anticoagulation Yan Lai; 10. Skeletal abnormalities Kimberly Fischer and Karina Gritsenko; 11. Underlying neuropathy Julie R. McSwain and Wesley J. Doty; 12. Geriatrics Joel Barton; 13. Obesity Maria Paz Sebastian, Su Cheen Ng, Maria Chazapis and Damon Kamming; 14. Pediatrics Shelby L. W. Cody and Karen Boretsky; 15. Pregnancy and lactation Jonathan (Yoni) Epstein and Jacqueline Geier; 16. Cancer pain Jung H. Kim, Deepali Gupta and Christopher Sikorski; 17. Neuraxial anesthesia following spine procedures Steve Lucas and Stephen Vose; Part III. Total Joint Replacements: 18. Total hip arthroplasty Stephen Choi; 19. Total knee arthroplasty Rakesh V. Sondekoppam ‎and Sugantha Ganapathy‎; 20. Total shoulder replacement Steven B. Porter and Alberto E. Ardon; 21. Total elbow replacement Olga Nin and Allison Haller; 22. Bone cement implantation syndrome Christopher Curatolo and Michael Anderson; 23. Regional versus general anesthesia and postoperative venous thromboembolism Andrea Fanelli; Part IV. Orthopedic Trauma: 24. Orthopedic trauma and compartment syndrome Laura Clark and Marina Varbanova; 25. Hip fractures and outcome Reva Ramlogan and Anne Lui; 26. Rib fractures: a review of truncal blocks Richa Wardhan; 27. Humerus fractures Nadia Hernandez and Christina Jeng; 28. Ankle fracture Danielle Ludwin and Vibhuti Kowluru; 29. Amputation: acute and chronic pain considerations Nick Lo; Part V. Sports Medicine and Hand Surgery: 30. Rotator cuff repair Ali Shariat; 31. Anterior cruciate ligament (acl) repair Daniela Ghisi; 32. Hand surgery and choosing appropriate anesthetic techniques Rosemary M. G. Hogg and Nabil M. Elkassabany; 33. Wrist fractures Amy Baxi DeRoche and Sean Dobson; 34. Analgesia for iliac crest bone graft Holly Evans, Jason McVicar and Ki Jinn Chin; Index.

Michael R. Anderson is Assistant Professor of Anesthesiology at the Icahn School of Medicine, Mount Sinai Hospital, New York, NY, USA.
Sylvia H. Wilson is Division Chief of Regional and Orthopedic Anesthesia, Fellowship Director of Regional Anesthesia and Assistant Professor at the Department of Anesthesia and Perioperative Medicine of the Medical University of South Carolina, Charleston, SC, USA.
Meg A. Rosenblatt is Professor of Anesthesiology and Orthopaedics at the Icahn School of Medicine at Mount Sinai, and Chair of the Department of Anesthesiology at Mount Sinai St Luke's and Mount Sinai Roosevelt Hospitals, New York, NY, USA.