The Journal of Arthroplasty
Volume 23, Issue 7 , Pages 1016-1021 , October 2008

Hypoxemia After Total Joint Arthroplasty: A Problem on the Rise

Received 25 October 2007 ,Accepted 2 May 2008.

References 

  1. Boettcher WG. Total hip arthroplasties in the elderly. Morbidity, mortality, and cost effectiveness. Clin Orthop Relat Res. 1992;30
  2. Felson DT, Lawrence RC, Hochberg MC, et al. Osteoarthritis: new insights. Part 2: treatment approaches. Ann Intern Med. 2000;133:726
  3. Mahomed NN, Barrett JA, Katz JN, et al. Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Joint Surg Am. 2003;85-A:27
  4. Bhattacharyya T, Iorio R, Healy WL. Rate of and risk factors for acute inpatient mortality after orthopaedic surgery. J Bone Joint Surg Am. 2002;84-A:562
  5. Parvizi J, Mui A, Purtill JJ, et al. Total joint arthroplasty: when do fatal or near-fatal complications occur. J Bone Joint Surg Am. 2007;89:27
  6. Gill GS, Mills D, Joshi AB. Mortality following primary total knee arthroplasty. J Bone Joint Surg Am. 2003;85-A:432
  7. Lie SA, Engesaeter LB, Havelin LI, et al. Early postoperative mortality after 67,548 total hip replacements: causes of death and thromboprophylaxis in 68 hospitals in Norway from 1987 to 1999. Acta Orthop Scand. 2002;73:392
  8. Mantilla CB, Horlocker TT, Schroeder DR, et al. Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology. 2002;96:1140
  9. Parvizi J, Holiday AD, Ereth MH, et al. The Frank Stinchfield Award. Sudden death during primary hip arthroplasty. Clin Orthop Relat Res. 1999;39
  10. Lawton RL, Morrey BF, Narr BJ. Validity of index of suspicion for pulmonary embolism after hip arthroplasty. Clin Orthop Relat Res. 2003;180
  11. Catley DM, Thornton C, Jordan C, et al. Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology. 1985;63:20
  12. Clayer M, Bruckner J. Occult hypoxia after femoral neck fracture and elective hip surgery. Clin Orthop Relat Res. 2000;265
  13. Hole A, Terjesen T, Breivik H. Epidural versus general anaesthesia for total hip arthroplasty in elderly patients. Acta Anaesthesiol Scand. 1980;24:279
  14. Ganong WF. Review of medical physiology. Norwalk, CT: Appleton & Lange; 1993;
  15. Ansari S, Warwick D, Ackroyd CE, et al. Incidence of fatal pulmonary embolism after 1,390 knee arthroplasties without routine prophylactic anticoagulation, except in high-risk cases. J Arthroplasty. 1997;12:599
  16. Borghi B, Casati A. Thromboembolic complications after total hip replacement. Int Orthop. 2002;26:44
  17. Mantilla CB, Horlocker TT, Schroeder DR, et al. Risk factors for clinically relevant pulmonary embolism and deep venous thrombosis in patients undergoing primary hip or knee arthroplasty. Anesthesiology. 2003;99:552
  18. Phillips CB, Barrett JA, Losina E, et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J Bone Joint Surg Am. 2003;85-A:20
  19. Miniati M, Prediletto R, Formichi B, et al. Accuracy of clinical assessment in the diagnosis of pulmonary embolism. Am J Respir Crit Care Med. 1999;159:864
  20. Wroblewski BM, Siney PD, Fleming PA. Fatal pulmonary embolism and mortality after revision of failed total hip arthroplasties. J Arthroplasty. 2000;15:437
  21. Egermayer P. Normoxemia and pulmonary embolism. Chest. 2001;120:1756
  22. Donnamaria V, Palla A, Petruzzelli S, et al. A way to select on clinical grounds patients with high risk for pulmonary embolism: a retrospective analysis in a nested case-control study. Respiration. 1995;62:201
  23. Stein PD, Goldhaber SZ, Henry JW. Alveolar-arterial oxygen gradient in the assessment of acute pulmonary embolism. Chest. 1995;107:139
  24. Jones JG, Sapsford DJ, Wheatley RG. Postoperative hypoxaemia: mechanisms and time course. Anaesthesia. 1990;45:566
  25. Rosenberg J, Pedersen MH, Gebuhr P, et al. Effect of oxygen therapy on late postoperative episodic and constant hypoxaemia. Br J Anaesth. 1992;68:18
  26. D'Alonzo GE, Dantzker DR. Gas exchange alterations following pulmonary thromboembolism. Clin Chest Med. 1984;5:411
  27. Stein PD, Henry JW. Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest. 1995;108:978

 Each author certifies that their institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

 Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from Stryker Orthopedics, Mahwah, New Jersey (Dr J Parvizi and Dr R Rothman).

PII: S0883-5403(08)00478-6

doi: 10.1016/j.arth.2008.05.006

The Journal of Arthroplasty
Volume 23, Issue 7 , Pages 1016-1021 , October 2008

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