Anesthesiology pp 729-740 | Cite as

Anesthesia for Major Orthopedic Surgeries

  • George PanEmail author
  • Bradley Reid


Major orthopedic surgery is a continually growing field in developed nations across the world. The most common major joint procedures include total hip arthroplasty (THA), total knee replacement (TKR), pelvic fracture surgery (PFS) and shoulder surgery. As the incidence of these cases continue to rise, anesthesiologists must become better attuned to the special requirements of these surgeries. Peri-operative considerations used to guide the anesthetic plan include the patient’s age, indication for surgery, surgical approach, and comorbid medical conditions. This chapter will discuss the preoperative patient optimization, specific operating room considerations, intraoperative care, and postoperative pain management. The perioperative considerations presented herein can additionally be extrapolated with adaptation to most other orthopedic surgical interventions.


Total hip arthroplasty Total knee replacement Pelvic fracture surgery Fat embolism syndrome Bone cement implantation syndrome Venous thromboembolism (VTE) Pain management Thromboprophylaxis 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and Perioperative MedicineUniversity of California, Los AngelesLos AngelesUSA

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