Outpatient Hip and Knee Replacement : Implementation and Essential Techniques / edited by R. Michael Meneghini, Leonard T. Buller.

Format:

Book

Contributor:

Meneghini, R. Michael, editor.

Buller, Leonard T., editor.

Language:

English

Subjects (All):

Orthopedics.

Sports medicine.

Orthopaedics.

Sports Medicine.

Local Subjects:

Orthopaedics.

Sports Medicine.

Physical Description:

1 online resource (X, 195 p. 15 illus., 14 illus. in color.)

Edition:

1st ed. 2023.

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2023.

Summary:

Outpatient surgery and early discharge is the hottest topic in hip and knee arthroplasty and will continue to be in the coming years: It is expected that over 50% of all hip and knee arthroplasties will be performed in the outpatient setting by 2026. Currently, a central text that encompasses all of the unique aspects of performing hip and knee arthroplasty in the outpatient setting does not exist. Furthermore, as surgeons across the US and abroad are incentivized and encouraged by government and commercial payors, as well as patients, to perform these surgical procedures in the outpatient setting, the educational material must be available to disseminate the unique perioperative and surgical strategies and techniques accordingly. This book is unique in that it will address all the essential elements and considerations to promote surgeon success in this endeavor and enhance patient safety through the transition of hip and knee arthroplasty into the outpatient setting, as well as how to implement such a program into practice. Topics discussed include patient selection, medical optimization and risk management, anesthetic surgical techniques, pain management protocols, and postoperative physical therapy. Later chapters cover practical issues surrounding outcome metrics, discharge criteria, minimizing patient readmissions, financial considerations, and additional implications for hospitals, ASCs and payers. Filling a glaring gap in the literature on this popular new topic, Outpatient Joint Replacement is an ideal resource for orthopedic surgeons, notably hip and knee specialists, as well as residents, fellows and supporting clinical staff.

Contents:

Patient Selection for Same-day Discharge: Medical and Surgical Risk Assessment

Medical Optimization and Risk Mitigation for Readmission

Surgical Appropriateness for Outpatient TJA in an ASC

Essential Components of Preoperative Education and Planning

Multimodal Pain Management Protocols for THA and TKA

Surgical Techniques and Protocols to Minimize Blood Loss and Postoperative Pain

Anesthesia for Outpatient TJA: Anesthetic Techniques and Regional Blocks

Threats to Same-day Discharge: Prevention and Management

Is There an Optimal Place for Same-day Discharge: Hospital, ASC or “Other”?- Navigating the Limitations and Obstacles of TJA in a Free-standing ASC

Same-day Discharge in the Hospital: Resources and Program Elements

Discharge the Day of Surgery: Strategies to Optimize and Discharge Criteria

Staying Connected with the Patient after Discharge: Strategies and Resources

Physical Therapy after Same-day Discharge

Strategies to Minimize Patient Anxiety, ER Visits and Readmissions Making the Transition to Outpatient: Resources and Pathway Changes

Outcome Metrics: What to Measure Now and in the Future

How to Mitigate Risk for Surgeons, Institutions and Patients

Financial Considerations for Surgeons in the Outpatient Setting: Costs and Ownership Models

Outpatient Hip and Knee Arthroplasty: Implications for Hospitals, ASC’s and Payers.

Notes:

Includes bibliographical references and index.

ISBN:

3-031-27037-1

OCLC:

1377292045