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What is the Mulcahy salvage protocol for immediate replacement of an infected IPP?
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*This protocol combines virgorously washing out the implant space with an antiseptic solution irrigation protocol, changing the instruments, gowns, drapes, and gloves, immediate prosthesis replacement,, and long-term oral antibiotic therapy.
Irrigating solutions in the Mulcahy protocol. 1. Antibiotic solution (1gram vancomycin and 80mg gentamicin in 1 liter of normal saline) 2. one half strength hydrogen peroxide 3. one half strength betadine 4. pressure washing with 1gram vancomycin and 80mg gentamicin in 5 Liter irrigation bag 5. one half strength betadine 6. one half strength hydrogen peroxide 7. antibiotic solution. go in the order as listed above doing half of each quantity and then going back and doing half again. |
