Outpatient Hip and Knee Replacement: Implementation and Essential Techniques

ISBN-13: 9783031270369 / Angielski

R. Michael Meneghini; Leonard T. Buller

Opis

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.

Spis treści

1 Patient Selection for Same-day Discharge: Medical and Surgical Risk Assessment 2 Medical Optimization and Risk Mitigation for Readmission 3 Surgical Appropriateness for Outpatient TJA in an ASC 4 Essential Components of Preoperative Education and Planning 5 Multimodal Pain Management Protocols for THA and TKA 6 Surgical Techniques and Protocols to Minimize Blood Loss and Postoperative Pain 7 Anesthesia for Outpatient TJA: Anesthetic Techniques and Regional Blocks 8 Threats to Same-day Discharge: Prevention and Management 9 Is There an Optimal Place for Same-day Discharge: Hospital, ASC or “Other”? 10 Navigating the Limitations and Obstacles of TJA in a Free-standing ASC 11 Same-day Discharge in the Hospital: Resources and Program Elements 12 Discharge the Day of Surgery: Strategies to Optimize and Discharge Criteria 13 Staying Connected with the Patient after Discharge: Strategies and Resources  14 Physical Therapy after Same-day Discharge 15 Strategies to Minimize Patient Anxiety, ER Visits and Readmissions 16 Making the Transition to Outpatient: Resources and Pathway Changes 17 Outcome Metrics: What to Measure Now and in the Future 18 How to Mitigate Risk for Surgeons, Institutions and Patients 19 Financial Considerations for Surgeons in the Outpatient Setting: Costs and Ownership Models 20 Outpatient Hip and Knee Arthroplasty: Implications for Hospitals, ASC’s and Payers

O autorze

R. Michael Meneghini, MD, CEO - Indiana Joint Replacement Institute, Professor of Clinical Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, mmeneghini@injri.com

Leonard T. Buller, MD, Indiana University Health Hip and Knee Center, Department of Orthopedic Surgery, Indiana University School of Medicine, Fishers, IN, USA