Education improves "Quality of Care"... Get Informed!!   ...   Reduce the risk of complications.
HOME

LEARN ONLINE NOW
AND ALSO RECEIVE
FREE CD'S BY MAIL!
LEARN ALL PROCEDURES
ONLINE NOW
UNLIMITED ONLINE ACCESS
TO
ALL 6 PROCEDURES
SUBSCRIPTION GOOD FOR ONE YEAR
**RECEIVE A DVD WITH ALL (6) PROCEDURES BY MAIL FREE!

Proficient Procedures Unlimited Online Access

UNLIMITED ONLINE ACCESS
TO
INDIVIDUAL (SINGLE) PROCEDURE
SUBSCRIPTION GOOD FOR ONE YEAR
**RECEIVE THE PROCEDURAL CD BY MAIL FREE!






Lost Password?
No account yet? Register

ARTHOCENTESIS

Arthocentesis.  Procedure where fluid is removed from a joint space or medication may be administered into the joint cavity for diagnostic or therapeutic purposes.

INDICATIONS:

CONTRAINDICATIONS:

  • Cellulitis or broken skin over the intended entry site for the injection or aspiration
  • Anticogulant therapy that is not well controlled 
  • Septic effusion of a bursa or a periarticular structure (for injection)
  • Lack of response to two or three prior injections
  • Suspected bacteremia (unless the joint is suspected as the source of the bacteremia , it should not be tapped.  Doing so could inoculate the joint space and actually cause infection)
  • Joint prostheses (If infection is suspected, consider a referral to the orthopedist who placed the prosthesis, if at all possible)

PRE- and POST-PROCEDURE PATIENT EDUCATION:
Inform the patient of the risks, benefits, and possible complications of injection therapy.  This is especially important if steroids are used.  Rarely is there ever complication from the use of lidocaine  alone.  Inform the patient that there is always a possibility for infection from the injection, although this is extremely rare.  Bleeding into a joint can occur, although this generally does not happen unless the patient has a coagulopathy.  The injection may actually cause more pain during the first 24 to 36 hours.  This is called steroid flare.  If the pain last for more than 36 hours, evaluate the patient for the possibility of septic joint.

"Once you see it, you will never forget it."
"Trust your photogenic memory."

Informed and educated patients comply well and are satisfied !!
Procedures Presented By Physicians Certified By
The American Board of Internal Medicine and Medical Subspecialties

 

2003-2008, Proficient Procedures, Inc. USA