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time may need stress doses preoperatively to prevent adrenal insufficiency postoperatively. For primary TJAs, 50 to 75 mg of hydrocortisone or 10 to 15 mg of intravenous (IV) methylprednisolone can be given on the day of surgery.109 The dose is then tapered over the next

time, length of stay, and propensity to discharge to extended care facility may be increased with static spacers.81,82 However, these results come from case series with small numbers of female patients, thus limiting the generalizability of such findings to the female patient.81 The authors’ preference

timing of subsequent surgical procedures. Members of both teams should be willing and able to provide intraoperative advice or consultation when needed. Orthopedic trauma surgeons should be available to assist in hardware removal, whether for a scheduled case or if introperative difficulties arise. This improves patient care

bleeding, gastric complications, mental status changes, and respiratory depression, among others. While the overarching tenet to do no harm remains paramount from an ethical standpoint, in the contemporary context of value-based care, strategies to minimize TJA complications should arguably be prioritized from a cost containment perspective

bleeding, or renal dysfunction. Gabapentinoids may cause sedation and dizziness, especially in elderly patients and those with renal disease. Regional anesthesia techniques are opioid-sparing and may help decrease perioperative opioid use in patients after TJA. There is more and stronger evidence supporting the use of peripheral nerve

Time to intervention varies per nutrition and clinical status Pseudo-obstruction, scleroderma, visceral organ myopathy, or very long–segment Hirschsprung disease Failure to tolerate adequate oral intake or EN Severe adhesive disease “Frozen abdomen”a with chronic obstructive symptoms and malnutrition Inability to achieve or maintain enteral access

time constraints, patients should be advised to work with physical therapy to focus on resistance training and overall mobility. Bracing can also be used in select individuals with knee OA due to the low risks associated.2 If these methods are unsuccessful at managing symptoms and improving quality

times more often with uncemented than cemented stems, the majority of these fractures (60%) occurred during femoral component insertion, and female patients over 65 were at the highest risk.14 Reduced revision burden Cemented THA is associated with a lower revision rate than uncemented THA.15-17 This is important when

bleeding. Neurological symptoms include encephalopathy, dysarthria, ataxia, focal or generalized dystonia, and both resting and action tremors. Laboratory tests and brain MRI can suggest the diagnosis, with genetic testing for confirmation. Treatment involves copper chelators, such as D-penicillamine or trientine, or agents like zinc that reduce dietary

bleeding. Neurological symptoms include encephalopathy, dysarthria, ataxia, focal or generalized dystonia, and both resting and action tremors. Laboratory tests and brain MRI can suggest the diagnosis, with genetic testing for confirmation. Treatment involves copper chelators, such as D-penicillamine or trientine, or agents like zinc that reduce dietary