Current Trends and Future Directions for Outpatient Total Joint Arthroplasty: A Review of the Anesthesia Choices and Analgesic Options

被引:6
|
作者
Osman, Brian M. [1 ]
Tieu, Tuan G. [2 ]
Caceres, Yosira Guevara [1 ]
Hernandez, Victor H. [1 ]
机构
[1] Univ Miami, Univ Miami Hlth Syst, Miller Sch Med, Perioperat Med & Pain Management, Miami, FL 33124 USA
[2] Univ Miami, Jackson Mem Hosp, Miller Sch Med, Miami, FL USA
关键词
TOTAL KNEE; PAIN MANAGEMENT; ENHANCED RECOVERY; RISK-FACTORS; HIP; COMPLICATIONS; REPLACEMENT; STAY;
D O I
10.5435/JAAOSGlobal-D-22-00259
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aging population and the obesity epidemic have led to an increased rate of joint arthroplasty procedures, specifically total knee arthroplasty and total hip arthroplasty. These surgeries are associated with increased hospital length of stay and, consequently, higher costs. Despite the benefits of outpatient surgery, only a small percentage of total joint arthroplasties (TJAs) are done in this manner. We reviewed the most up-to-date trends for outpatient TJA and discussed essential factors for a successful outpatient program, including the proper patient selection process and best available anesthetic and analgesic options, along with their risks and benefits. Risk stratification tools, such as the Outpatient Arthroplasty Risk Assessment, are helpful for predicting outcomes regarding outpatient TJA, and neuraxial anesthesia should be considered to minimize complications and facilitate early discharge. A multimodal analgesia regimen could be effective for pain management in outpatient TJA, and the currently recommended peripheral nerve blocks for total hip arthroplasty and total knee arthroplasty are the fascia iliaca compartment block and adductor canal block, respectively. However, blocks should be carefully considered for outpatient procedures. Enhanced recovery after surgery (ERAS) protocols help to guide perioperative care teams and allow for improved patient recovery, decreased length of stay, and increased patient satisfaction.
引用
收藏
页数:8
相关论文
共 50 条
  • [31] A systematic review of justice integration to climate resilience: Current trends and future directions
    Pellerey, Virginia
    Moghadam, Sara Torabi
    Lombardi, Patrizia
    URBAN CLIMATE, 2025, 59
  • [32] A review of current cross-linked polyethylenes used in total joint arthroplasty
    Harris, WH
    Muratoglu, OK
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (430) : 46 - 52
  • [33] A systematic literature review on knowledge management in SMEs: current trends and future directions
    Durst, Susanne
    Foli, Samuel
    Edvardsson, Ingi Runar
    MANAGEMENT REVIEW QUARTERLY, 2024, 74 (01) : 263 - 288
  • [34] Current Status of Cost Utility Analyses in Total Joint Arthroplasty: A Systematic Review
    Nwachukwu, Benedict U.
    Bozic, Kevin J.
    Schairer, William W.
    Bernstein, Jaime L.
    Jevsevar, David S.
    Marx, Robert G.
    Padgett, Douglas E.
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2015, 473 (05) : 1815 - 1827
  • [35] A Narrative Review of the Most Demanding Scenarios in Basketball: Current Trends and Future Directions
    Alonso Perez-Chao, Enrique
    Portes, Ruben
    Angel Gomez, Miguel
    Parmar, Nimai
    Lorenzo, Alberto
    Jimenez-Saiz, Sergio L.
    JOURNAL OF HUMAN KINETICS, 2023, 89 (01) : 231 - 245
  • [36] Nanotoxicology of metal wear particles in total joint arthroplasty: a review of current concepts
    Billi, Fabrizio
    Campbell, Pat
    JOURNAL OF APPLIED BIOMATERIALS & BIOMECHANICS, 2010, 8 (01) : 1 - 6
  • [37] Current Review of the Use of Intrathecal Morphine for Postoperative Analgesia in Total Joint Arthroplasty
    Piennette, Paul
    Ahn, John
    Braun, Andrew S.
    Paul, Christopher
    CURRENT ANESTHESIOLOGY REPORTS, 2024, 14 (01) : 83 - 89
  • [38] Current Review of the Use of Intrathecal Morphine for Postoperative Analgesia in Total Joint Arthroplasty
    Paul Piennette
    John Ahn
    Andrew S. Braun
    Christopher Paul
    Current Anesthesiology Reports, 2024, 14 : 83 - 89
  • [39] Regional Anesthesia for Total Hip Arthroplasty: Essential Anatomy, Techniques, and Current Literature Review
    Promil Kukreja
    Lauren Mason
    Joel Feinstein
    S. Elizabeth Morris
    Hari Kalagara
    Current Anesthesiology Reports, 2021, 11 : 457 - 466
  • [40] Regional Anesthesia for Total Hip Arthroplasty: Essential Anatomy, Techniques, and Current Literature Review
    Kukreja, Promil
    Mason, Lauren
    Feinstein, Joel
    Morris, S. Elizabeth
    Kalagara, Hari
    CURRENT ANESTHESIOLOGY REPORTS, 2021, 11 (04) : 457 - 466