Chris Cullom1, Jonathan T Weed2. 1. Department of Anesthesiology, Tulane University School of Medicine, 1430 Tulane Ave, SL-4, New Orleans, LA, 70112, USA. 2. Department of Anesthesiology, Tulane University School of Medicine, 1430 Tulane Ave, SL-4, New Orleans, LA, 70112, USA. jweed@tulane.edu.
Abstract
PURPOSE OF REVIEW: Total knee arthroplasty traditionally has been associated with significant postoperative pain that can limit recovery and prolong hospital length of stay. Recently, however, due to financial pressures and an emphasis on improving patient satisfaction, many institutions are implementing outpatient and short-stay programs for patients undergoing this procedure. An effective perioperative anesthetic plan is an essential quality of a successful outpatient joint replacement program. RECENT FINDINGS: Improved technology and innovation has led to more effective and efficient strategies that contribute to a smoother and quicker postoperative course. The use of peripheral nerve blocks in conjunction with a variety of systemic analgesics has reduced post-operative pain compared to older modalities. Specifically, the adductor canal and IPACK blocks have become increasingly popular due to their analgesic efficacy and muscle sparing characteristics. Outpatient knee arthroplasty is becoming a reality with advancements in surgical pathways that incorporate these newer modalities with an emphasis on multidisciplinary coordination.
PURPOSE OF REVIEW: Total knee arthroplasty traditionally has been associated with significant postoperative pain that can limit recovery and prolong hospital length of stay. Recently, however, due to financial pressures and an emphasis on improving patient satisfaction, many institutions are implementing outpatient and short-stay programs for patients undergoing this procedure. An effective perioperative anesthetic plan is an essential quality of a successful outpatient joint replacement program. RECENT FINDINGS: Improved technology and innovation has led to more effective and efficient strategies that contribute to a smoother and quicker postoperative course. The use of peripheral nerve blocks in conjunction with a variety of systemic analgesics has reduced post-operative pain compared to older modalities. Specifically, the adductor canal and IPACK blocks have become increasingly popular due to their analgesic efficacy and muscle sparing characteristics. Outpatientknee arthroplasty is becoming a reality with advancements in surgical pathways that incorporate these newer modalities with an emphasis on multidisciplinary coordination.
Authors: David B Auyong; Cindy Jo Allen; Joshuel A Pahang; Jonathan J Clabeaux; Kevin M MacDonald; Neil A Hanson Journal: J Arthroplasty Date: 2015-05-12 Impact factor: 4.757
Authors: Bryce A Basques; Jason O Toy; Daniel D Bohl; Nicholas S Golinvaux; Jonathan N Grauer Journal: J Bone Joint Surg Am Date: 2015-03-18 Impact factor: 5.284
Authors: Sanjay K Sinha; Jonathan H Abrams; Sivasenthil Arumugam; John D'Alessio; David G Freitas; John T Barnett; Robert S Weller Journal: Anesth Analg Date: 2012-04-27 Impact factor: 5.108
Authors: Hans J Gerbershagen; Sanjay Aduckathil; Albert J M van Wijck; Linda M Peelen; Cor J Kalkman; Winfried Meissner Journal: Anesthesiology Date: 2013-04 Impact factor: 7.892
Authors: Cesar D Lopez; Venkat Boddapati; Alexander L Neuwirth; Roshan P Shah; H John Cooper; Jeffrey A Geller Journal: Arthroplast Today Date: 2020-06-23
Authors: Cesar D Lopez; Venkat Boddapati; Joseph M Lombardi; Nathan J Lee; Justin Mathew; Nicholas C Danford; Rajiv R Iyer; Marc D Dyrszka; Zeeshan M Sardar; Lawrence G Lenke; Ronald A Lehman Journal: Global Spine J Date: 2022-02-28