The Hip book

Povan

– Peds dose: 5 mg/kg/dose x 1 – supplied: susp 10 mg/ml, tab 50 mg; Original Text by Clifford R. Wheeless, III, MD.

Perioperative Pain Management

Intraoperative Pain Management General Anesthesia Neuroleptic Anesthesia Local Anesthesia Postoperative Pain Management Local Anesthetics Normal duration (1-6 hours) bupivacaine (Marcaine) lidocaine Extended duration (72 hours or more) liposomal bupivacaine (Exparel) information procedures references testimonials and news videos and webcasts Indwelling Catheters Opioid (Narcotic) Pain Medications codeine (only available in generic form) fentanyl (Actiq, Duragesic, Fentora) … Read more

Percutaneous Fixation of Scaphoid Fractures:

– Percutaneous Fixation:     – in the report by Bond CD, et al (2001), the authors evaluated 25 patients with acute nondisplaced fracture of scaphoid waist that consented to be            randomized to either cast immobilization or fixation with a percutaneous cannulated screw fixation;            – 11 patients were randomized to percutaneous … Read more

Penicillinase Resistant Penicillins

    Augmentin     Cloxacillin     Dicloxacillin     Floxacillin     Nafcillin     Methicillin     Oxacillin     Sulbactam     Timentin Original Text by Clifford R. Wheeless, III, MD.

Post Renal Oliguria

Bilateral Ureteric Obstruction   Stones   Clots   Sloughed Papilla   Retroperitoneal fibrosis     Tumor     Neurogenic bladder     Bladder Outlet Obstruction     Prostatic hypertrophy (needs to be evaluated in every male over 50     with unexplained renal failure)         Stones         Clots   … Read more

Polarus Targeting System

The Polarus modular instrumentation system is easy to assemble and use. Extremely close tolerances ensure consistently accurate screw placement. Rod and guide are easily rotated up to 20 degrees to maximize fixation, or avoid key anatomic structures. AP targeting if needed. Accurate radiolucent targeting guide. Combined depth gauge / drill guide, reduces OR time and … Read more

Pediatric Acetabular Fractures

– See: Pediatric Pelvic Fractures – Discussion:     – disruption of acetabular triradiate cartilage in patient > age 12 will result in minimal subsequent growth disturbance;     – in younger pts acetabular growth abnormality is frequent complication;           – may result in shallow acetabulum & progressive subluxation of hip; … Read more

Partial ACL injury

– See: Natural History of ACL Deficient Knee: – Discussion:     – because failure of ACL occurs first by plastic deformation w/ loss of collagen cross-linking, rupture usually occurs as single fiber-mass             failure rather than sequential fiber failure;     – this probably explains why partial ACL injury is less common than complete rupture; … Read more

Pediatric Nutrition

  – Enteral Feedings in the Pediatric Patient: – advance feedings as follows: – begin w/ 10-15 ml Pedialyte qq 2-3 hrs; – incr by 2-5 ml increments overe the next 12-24 hrs until infant is receiving 30-45 ml of Pedialyte q3hr; – pt is then begun w/ half strength formula for 24 hrs followed … Read more