Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty
Enhanced recovery pathways for total hip and knee arthroplasty can reduce length of hospital stay and perioperative morbidity. 22 studies were reviewed for identification of perioperative care interventions, including preoperative (n=4), intra-operative (n=8), and postoperative (n=4) care interventi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2014-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901402200324 |
| _version_ | 1818262336222265344 |
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| author | Marinus DJ Stowers Daniel P Lemanu Brendan Coleman Andrew G Hill Jacob T Munro |
| author_facet | Marinus DJ Stowers Daniel P Lemanu Brendan Coleman Andrew G Hill Jacob T Munro |
| author_sort | Marinus DJ Stowers |
| collection | DOAJ |
| description | Enhanced recovery pathways for total hip and knee arthroplasty can reduce length of hospital stay and perioperative morbidity. 22 studies were reviewed for identification of perioperative care interventions, including preoperative (n=4), intra-operative (n=8), and postoperative (n=4) care interventions. Factors that improve outcomes included use of pre-emptive and multimodal analgesia regimens to reduce opioid consumption, identification of patients with poor nutritional status and provision of supplements preoperatively to improve wound healing and reduce length of hospital stay, use of warming systems and tranexamic acid, avoidance of drains to reduce operative blood loss and subsequent transfusion, and early ambulation with pharmacological and mechanical prophylaxis to reduce venous thromboembolism and to speed recovery. |
| first_indexed | 2024-12-12T19:01:30Z |
| format | Article |
| id | doaj.art-21b24edc727845acbf827584e28c2313 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-12T19:01:30Z |
| publishDate | 2014-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-21b24edc727845acbf827584e28c23132022-12-22T00:15:04ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902014-12-012210.1177/230949901402200324Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee ArthroplastyMarinus DJ Stowers0Daniel P Lemanu1Brendan Coleman2Andrew G Hill3Jacob T Munro4 Department of Surgery, South Auckland Clinical School, Middlemore Hospital, University of Auckland, Auckland, New Zealand Department of Surgery, South Auckland Clinical School, Middlemore Hospital, University of Auckland, Auckland, New Zealand Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand Department of Surgery, South Auckland Clinical School, Middlemore Hospital, University of Auckland, Auckland, New Zealand Department of Orthopaedic Surgery, Auckland City Hospital, University of Auckland, Auckland, New ZealandEnhanced recovery pathways for total hip and knee arthroplasty can reduce length of hospital stay and perioperative morbidity. 22 studies were reviewed for identification of perioperative care interventions, including preoperative (n=4), intra-operative (n=8), and postoperative (n=4) care interventions. Factors that improve outcomes included use of pre-emptive and multimodal analgesia regimens to reduce opioid consumption, identification of patients with poor nutritional status and provision of supplements preoperatively to improve wound healing and reduce length of hospital stay, use of warming systems and tranexamic acid, avoidance of drains to reduce operative blood loss and subsequent transfusion, and early ambulation with pharmacological and mechanical prophylaxis to reduce venous thromboembolism and to speed recovery.https://doi.org/10.1177/230949901402200324 |
| spellingShingle | Marinus DJ Stowers Daniel P Lemanu Brendan Coleman Andrew G Hill Jacob T Munro Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty Journal of Orthopaedic Surgery |
| title | Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty |
| title_full | Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty |
| title_fullStr | Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty |
| title_full_unstemmed | Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty |
| title_short | Review Article: Perioperative Care in Enhanced Recovery for Total Hip and Knee Arthroplasty |
| title_sort | review article perioperative care in enhanced recovery for total hip and knee arthroplasty |
| url | https://doi.org/10.1177/230949901402200324 |
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