By Warren C. Hammert MD, Martin I. Boyer MD FRCS(C), David J. Bozentka MD, Ryan Patrick Calfee MD
Published at the side of the yankee Society for surgical procedure of the Hand (ASSH), the ASSH guide of Hand Surgery is a realistic, accomplished handbook at the prognosis and administration of hand difficulties. every one bankruptcy starts with a piece at the anatomy of the area in query. info is gifted in easy-to-scan bullet issues, with quite a few lists and algorithms. each one bankruptcy ends with board-type questions and solutions, annotated references, and an inventory of what junior and senior point citizens have to know.
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Additional resources for ASSH Manual of Hand Surgery
Currently, the only available COX-2 inhibitor is celecoxib (Celebrex). VI. Rheumatoid Medications Rheumatoid arthritis is a systemic autoimmune disorder causing joint inflammation and destruction. Systemic corticosteroids have a long history in the treatment of rheumatoid arthritis. They have anti-inflammatory properties but they also slow the process of joint destruction. Although they are effective disease modifying antirheumatic drugs (DMARDs), the pitfalls of long-term, high-dose systemic corticosteroid therapy are well documented.
In addition, many patients with rheumatoid arthritis use NSAIDs to help control inflammation. Perioperative management of antirheumatoid medication is complex and should be done in consultation with the patient’s rheumatologist. Patients on long-term corticosteroid therapy may have suppression of the pituitary-hypothalamic axis. Therefore, they may have temporary elevated requirements to compensate for postsurgical physiologic stress. Methotrexate should be continued throughout the perioperative period, regardless of the procedure.
Metronidazole forms oxygen free radicals causing damage to DNA helical structure. It is particularly effective against anaerobic organisms. III. Analgesics Narcotic analgesics are drugs derived from the opium poppy plant. They are useful analgesics and are particularly effective in treating acute pain. They may be administered via many routes: oral (PO), sublingual (SL), rectal (PR), transdermal, subcutaneous (SQ), IV, intramuscular (IM), epidural (E), and intrathecal (IT). Their properties are mediated by opiate receptors in the central nervous system.
ASSH Manual of Hand Surgery by Warren C. Hammert MD, Martin I. Boyer MD FRCS(C), David J. Bozentka MD, Ryan Patrick Calfee MD