Anaes Vivas · Orthopaedic anaesthesia
Arthroplasty anaesthesia, ERAS, and blood conservation — viva
Structured oral examination station for arthroplasty-eras-blood-conservation.
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ANZCAFRCAEDAICABAFCAI
Prompt
Clinical stem centred on arthroplasty eras blood conservation. Crisis focus: Unexpected massive bleeding or BCIS during cemented THA.
Opening
State the one-line plan: Arthroplasty ERAS combines optimised comorbidities, preferred neuraxial or regional plus light GA, TXA for blood conservation (studied 1 g IV regimen per local protocol), multimodal opioid-sparing analgesia, early mobilisation.[7]
References8ShowHide
- [1]Sukeik M, Alshryda S, Haddad FS, Mason JM Systematic review and meta-analysis of the use of tranexamic acid in total hip replacement. Journal of Bone and Joint Surgery (British Volume), 2011.PMID 21196541
- [2]Alshryda S, Sukeik M, Sarda P, et al. A systematic review and meta-analysis of the topical administration of tranexamic acid in total hip and knee replacement. Bone and Joint Journal, 2014.PMID 25086114
- [3]Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. Lancet, 2010.PMID 20554319
- [4]Donaldson AJ, Thomson HE, Harper NJ, Kenny NW Bone cement implantation syndrome. British Journal of Anaesthesia, 2009.PMID 19059919
- [5]Horlocker TT, Vandermeuelen E, Kopp SL, et al. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Regional Anesthesia and Pain Medicine, 2018.PMID 29561531
- [6]Gao F, Ma J, Sun W, et al. Adductor Canal Block Versus Femoral Nerve Block for Analgesia After Total Knee Arthroplasty: a systematic review and meta-analysis. Clinical Journal of Pain, 2017.PMID 27322397
- [7]Piette N, Beck F, Carella M, et al. Oral as compared to intravenous tranexamic acid to limit peri-operative blood loss associated with primary total hip arthroplasty: a randomised noninferiority trial. European Journal of Anaesthesiology, 2024.PMID 38214552
- [8]Moskal JT, Capps SG Meta-analysis of Intravenous Tranexamic Acid in Primary Total Hip Arthroplasty. Orthopedics, 2016.PMID 27248332