INTRA-OPERATIVE:

  • Blocks/Cath/Spinals

  • TKA

      • Selective Femoral (Adductor Canal) Nerve catheters0: Initial block max 20 mL of 0.25% bupivacaine then infusion of 0.2% Ropivacaine, 8-10 mL/hr

  • TKA/THA Spinal

      • Choose local anesthetic that allows for most rapid resolution of spinal as postop goal is early ambulation

  • Shoulder

      • Interscalene catheter and superficial cervical plexus block 0.25% bupivacaine w/epi

  • Multimodal Medications

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