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Adrian Lescano1 Author
Subjects of specialization
Affiliation
Total knee Arthroplasty, Hemostasis
Department of cardiology, Trinidad Quilmes, Argentina
physician at New York University School of Medicine. He is trained as a pulmonary critical care physician. He is board certified in Internal Medicine, Pulmonary Disease and Critical Care Medicine. He currently works in the Bellevue Medical Intensive Care Unit and has special interests in Ultrasound, Special Pathogens and house staff education.
Research Article Open Access
Author(s): Adrian Lescano1,2, Juan Farina2, Nicolas Carusso3, Guillermina Sorassio2, Hernan Cohen Arazi2, Guillermo Bortman3
Objective: After knee surgeries, the intra-articular administration of a solution mixing bupivacaine and epinephrine is a common regimen. It is logic to expect the potential in blood conservation using this regimen in total knee arthroplasty (TKA); however, there is inconsistent literature. The study was to explore the hemostatic
efficacy of this regimen in our primary TKAs without drains.
Methods: A retrospective, case controlled review of our primary TKAs between 2009 and 2010 was conducted. After closure of arthrotomy, a solution containing a 40 ml vial of 0.5% bupivacaine with epinephrine 1: 200000 was given prior to the deflation of tourniquet, and two groups were simply divided according to the intra-articular injection or not. Bl... view moreĀ»