Perioperative medicine & outcomes
Ambulatory total hip and knee arthroplasty: a literature review and perioperative considerations
Authors' conclusion
Anesthesia for TJA has evolved as such that same-day discharge will become the norm for selected patients.
Study context
- Population
- Patients undergoing ambulatory or fast-track total hip and knee arthroplasty
Methodological detailsContinuing Professional Development module, Searched MEDLINE, Embase, CENTRAL and the Cochrane Database of Systematic Reviews
- Continuing Professional Development module
- Searched MEDLINE, Embase, CENTRAL and the Cochrane Database of Systematic Reviews
Main finding
As reported in the abstract
- Patient selection (patient, medical and social factors) is fundamental for successful same-day discharge after total joint arthroplasty (TJA)
- Evidence favours neuraxial anaesthesia for achieving same-day discharge criteria and reduced perioperative complications
- Modern GA with multimodal analgesia and antithrombotics can be considered in a well selected population
- RA is integral to multimodal analgesia, reducing opioid consumption, facilitating same-day discharge and reducing readmission
- For ambulatory total knee arthroplasty, adductor canal block plus periarticular local anaesthetic infiltration is a suitable regimen
- In-patient TJA evidence extrapolated where direct ambulatory evidence absent
Original publication
Ambulatory total hip and knee arthroplasty: a literature review and perioperative considerations. Can J Anaesth. Published 19 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →