Why the study?
Does intraoperative monitoring with a pulmonary artery catheter prevent fat embolism complications in patients undergoing bilateral total knee replacement?
Population
79 consecutive patients undergoing one-stage bilateral total knee replacement
Design
Cohort
Follow-up
postoperative course
Authors
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May support selective cancellation via pulmonary artery catheter in bilateral TKR; hypothesis-generating and requires randomized confirmation before practice change.
Does intraoperative monitoring with a pulmonary artery catheter prevent fat embolism complications in patients undergoing bilateral total knee replacement?
Intraoperative monitoring with a pulmonary artery catheter during bilateral total knee replacement can identify patients at high risk for fat embolism, allowing for the safe cancellation of the second procedure.
Dorr et al. (2002) studied this question.
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