Publications by authors named "L Barrera Pulido"

Article Synopsis
  • Multimodal analgesia for total hip arthroplasty (THA) improves pain management and mobility while minimizing side effects compared to single-drug therapies.
  • The study compared local infiltration analgesia (LIA) and regional nerve blocks (RNBs) in a review of 1100 THA patients to evaluate their effectiveness within a multimodal pain management approach.
  • Results showed that while overall pain ratings were similar, the LIA group had significantly lower opioid usage, greater ambulation distances, higher same-day discharge rates, and fewer falls, indicating LIA might offer better functional outcomes.
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Periprosthetic joint infections (PJI) are among the most morbid complications in total hip arthroplasty (THA). The ideal incubation time, however, for intraoperative cultures for PJI diagnosis remains unclear. As such, the aim of this study was to determine if any differences existed in culture-positive rates and organism detection between five-day and fourteen-day cultures.

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Cardiovascular diseases stand as the leading cause of mortality among adults globally. For decades, comprehensive evidence has underscored the correlation between infections, particularly those involving the respiratory system, and an elevated risk of cardiovascular and cerebrovascular events, as well as all-cause mortality. The mechanisms through which infections heighten cardiovascular events are intricate, encompassing immune system activation, systemic inflammation, hypercoagulable states, sympathetic system activation, and increased myocardial oxygen demand.

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Aims & Objectives: With modern advancements in surgical techniques and rapid recovery protocols, incidence of outpatient total joint arthroplasty (TJA) is increasing. Previous literature has historically focused on cost, safety, and clinical outcomes, with few studies investigating patient expectations and experiences. The aim of this study was to survey preoperative patient expectations related to outpatient TJA surgery compared with perioperative perceptions and experience.

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