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Lerebours, MD 

(Orthopedics, Total Joints)


  • Spinals preferred for all knee and hip cases

  • Adductor canal blocks for all his patients.  Exparel 10cc plus bupivacaine, he will use the remaining 10cc

  • 1 g IV TXA after cementing in knees/before incision in hips.  Do not give IV TXA if the patient has exclusion criteria (recent stent, stroke, DVT...)

  • NO Decadron

  • 15-30 mg Toradol at the end of the case with GFR > 60.  Use your judgment based on size and age of patient.  

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