V Bobic - local anaesthetics and chondrotoxicity - do we have a problem - oswestry 051017
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An update on possible chondrotoxicity of intra-articicular locos anaesthetics
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V Bobic - local anaesthetics and chondrotoxicity - do we have a problem - oswestry 051017
- 1. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS - DO WE HAVE A PROBLEM? (JUST ONE MORE THING TO WORRY ABOUT!) Prof Vladimir Bobić, Consultant Orthopaedic Knee Surgeon Chester Knee Clinic at Nuffield Health,The Grosvenor Hospital Chester @ChesterKnee 11th Oswestry Cartilage Symposium RJAH, Oswestry, 5th and 6th October 2017
- 2. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 3. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 4. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 5. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 6. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 7. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK … fast forward (2015):
- 8. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 9. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 10. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 11. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 12. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 13. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 14. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 15. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 16. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 17. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 18. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 19. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS VB CKC UK … the stem cells are DOA!
- 20. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS VB CKC UK
- 21. • Is this serious? Well, seems to be! • Do we have a problem? Probably, but not at a litigation level. Well, not yet. • My take home message is: if you have to inject LA after arthroscopy, don’t to it IA, but infiltrate around arthroscopic portals, 10ml max, with the lowest possible concentration (0.20 or 0.25 of whichever -caine). I use ropivacaine or Naropin. • So, no panic but keep an eye on IA LA publications and: @ChesterKnee and @BioKneeSociety • DMI? Tricky, tricky, as the cocktail of the usual LA + DM is injected IA. Use sparingly, if you have to. • IA Steroids? A huge and controversial topic. Orthopaedics vs. OrthoBiologics! See you next year for the sequel! CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 22. THANKYOU FORYOUR ATTENTION.TO BE CONTINUED … CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS VB CKC UK
- 24. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS VB CKC UK
- 25. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS VB CKC UK
- 26. CHONDROTOXICITY OF INTRA-ARTICULAR INJECTIONS OF LOCAL ANAESTHETICS AND STEROIDS - DO WE HAVE A PROBLEM? (JUST ONE MORE THING TO WORRY ABOUT!) Prof Vladimir Bobić, Consultant Orthopaedic Knee Surgeon Chester Knee Clinic at Nuffield Health,The Grosvenor Hospital Chester @ChesterKnee 11th Oswestry Cartilage Symposium RJAH, Oswestry, 5th and 6th October 2017