Pre-Op:  HIP: Lyrica, Celebrex 200, PREOP SPINAL(if isobaric can use plain 0.5% bupivicaine plain 7-8mg. 7mg=1.4cc (dilute up to 3cc w/CSF). KNEE: Lyrica, Celebrex 200, PREOP ADDUCTOR CANAL BLOCK(15cc 0.5% bupivicaine PLAIN, NO DECADRON).

Anesthesia:  HIP: preop spinal. NO IV TORADOL intraop, DOES NOT USE EXPAREL. surgeon block with 30cc plain 0.5% bup, decadron 0.15 mg/kg, toradol 15mg (take age and renal status into consideration). NTG gtt: goal mean of 60 if not contraindicated for patient KNEE: GA, 15mg toradol (?age, cr), DOES NOT USE EXPAREL. surgeon block with 30cc 0.5% bup, dec 10, toradol 30 NTG gtt: goal mean of 60 if not contraindicated for patient

Post-Op:  OUTPT 23 hour JOINT PROTOCL