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Anesthesia for Same-Day Total Joint Replacement.

Authors
  • Amundson, Adam W1
  • Panchamia, Jason K1
  • Jacob, Adam K2
  • 1 Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
  • 2 Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: [email protected]
Type
Published Article
Journal
Anesthesiology clinics
Publication Date
Jun 01, 2019
Volume
37
Issue
2
Pages
251–264
Identifiers
DOI: 10.1016/j.anclin.2019.01.006
PMID: 31047128
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Demand for low-cost, high-quality health care has forced the total joint replacement (TJR) industry to evaluate and mitigate high variable costs. Minimizing hospital stay can significantly reduce total cost of care. A shortened hospital stay does not compromise patient safety or satisfaction, and may reduce perioperative complications compared with multiple-day hospitalizations. Through the use of enhanced recovery clinical pathways, outpatient TJRs have progressively shortened hospitalizations. Successful ambulatory TJR can be accomplished through advances in surgical technique, presurgical patient education, opioid-sparing multimodal analgesia, anesthetic techniques that facilitate rapid recovery, and progressive rehabilitation. Copyright © 2019 Elsevier Inc. All rights reserved.

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