Maaike Fenten Optimizing Locoregional Anesthesia for Fast Track Orthopedic Surgery
Key element of the orthopedic Fast Track-protocol is early mobilization, which can only be achieved by optimal pain relief with minimal side effects.read more
Maaike Fenten Optimizing Locoregional Anesthesia for Fast Track Orthopedic SurgeryKey element of the orthopedic Fast Track-protocol is early mobilization, which can only be achieved by optimal pain relief with minimal side effects. The goal for the anesthesiologist is providing pain relief that is not only adequate, but also allows early mobilization. This means that the used anesthetic techniques should not attenuate motor function or induce side effects like drowsiness or nausea. Several conclusions can be drawn from the work in this thesis: 1) intrathecal opioids do not fit a Fast Track-program for total hip arthroplasty, 2) addition of epinephrine to ropivacaine does not prolong a single shot block and 3) the duration of a single shot block with mepivacaine can be altered by changing dose or concentration. LIA (local infiltration analgesia) of the knee is a generally safe painkiller technique, although a femoral nerve block provides slightly better analgesia in a Fast Track-total knee arthroplasty program.
Date, time and location PhD defense
- Date: 15 November 2019
- Time: 10.30 hrs
- Location: Radboud Universiteit, Academiezaal Aula, Comeniuslaan 2
Maaike Fenten (1987) studied Medicine at Radboudumc and obtained her medical degree in 2011. She carried out the above doctoral research at the department of Anesthesiology of the Sint Maartenskliniek Nijmegen. In 2015 she started her specialization in anesthesia at the Radboudumc. In 2020, Maaike will finish her specialization and as an anesthesiologist she aims to continue doing research.
- Promotors: prof. G.J. Scheffer
- Co-promotors: R. Stienstra PhD and P.J.C. Heesterbeek PhD