Outpatient Hip and Knee Replacement

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.

Addresses all essential elements and considerations for hip and knee arthroplasty into the outpatient setting Topics include patient selection, risk management, surgical techniques, pain management, and post-op rehab An ideal resource for orthopedic hip and knee surgeons, residents, fellows and supporting clinical staff

Autorentext

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

Inhalt
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.