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Archive Orthopedic Surgery 2019

Anesthesia's Role in Total Joints Advancement

Optimized pre-procedure care, efficiency-minded sedation and masterful pain management prepare patients for speedy recoveries.

Girish Joshi

Girish Joshi, MD


Pamela Bevelhymer, RN, BSN, CNOR
LEAD BLOCKERS Expertise in regional anesthesia is just one of the many clinical benefits anesthesia providers bring to managing the episode of care.

Outpatient joint replacements wouldn't be possible without the efforts of your anesthesia team. They identify and manage comorbid conditions to ensure patients are primed for surgery. They implement fast-track anesthesia techniques to get patients up and moving minutes after leaving the OR and ready to head home hours later. They administer aggressive, multimodal pain management protocols to prepare patients mentally and physically for taking the initial steps toward recovery. There are countless ways anesthesiologists contribute to successful outpatient joint replacement programs, beginning with working hard to set up patients for smooth recoveries.

1. Pre-op preparation

There's a lot of buzz surrounding the Enhanced Recovery After Surgery (ERAS) movement as it pertains to total joints, and rightly so. Joint replacements are perfectly suited for the bundled payment model in which insurers pay a single global fee to surgeon groups and surgical facilities to deliver an entire episode of care, beginning when cases are scheduled and ending 90 days after surgery. The basic concept of ERAS dovetails nicely with what it takes to manage patients during that period: a holistic, multidisciplinary approach from the preoperative phase straight through to recovery is paramount to a positive surgical outcome.

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