Memtsoudis Stavros G, Rosenberger Peter, Walz J Matthias
Department of Anesthesiology, Hospital for Special Surgery, New York, NY 10021, USA.
J Intensive Care Med. 2007 Mar-Apr;22(2):92-104. doi: 10.1177/0885066606297692.
Admission rates of orthopedic patients to intensive care units are increasing. Thus, an intensivist's familiarity with specific problems associated with major joint replacement surgery is of utmost importance in order to meet the needs of this particular patient population. In this article, the authors review the most commonly encountered complications after major hip and knee arthroplasty. Perioperative risk factors for morbidity and mortality and the epidemiology, diagnosis, and treatment of cardiopulmonary complications in this patient population are discussed. Procedure-specific complications such as fat embolism and acrylic bone cement-related issues are reviewed.
骨科患者入住重症监护病房的比例正在上升。因此，为了满足这一特殊患者群体的需求，重症监护医生熟悉与大关节置换手术相关的特定问题至关重要。在本文中，作者回顾了全髋关节和全膝关节置换术后最常见的并发症。讨论了围手术期发病和死亡的危险因素以及该患者群体心肺并发症的流行病学、诊断和治疗。还回顾了特定手术并发症，如脂肪栓塞和骨水泥相关问题。
