High turnover for ambulatory orthopedic surgery. Issue 5 (October 2021)

• Record Type: Journal Article
• Authors: Shariat, Ali; Marcus, Berend; Latmore, Malikah
• Is Part Of: Current opinion in anaesthesiology. Volume 34:Issue 5(2021)
• Publication Date: 2021-10
• Subjects: ambulatory -- fast-tracking -- orthopedic -- regional anesthesia; Anesthesiology -- Periodicals; Anesthesiology -- Indexes; Anesthesiology -- Periodicals; Review Literature -- Indexes; Review Literature -- Periodicals; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1097/ACO.0000000000001045
• Languages: English
• ISSNs: 0952-7907

Abstract

Abstract : Purpose of review: The trend in the perioperative management of patients having orthopedic surgery in the ambulatory setting emphasizes time-efficiency and rapid turnovers. Anesthetic techniques and management continue to evolve to increase efficiency and decrease time spent in recovery. Recent findings: Minimizing time patients spend in phase 1 recovery or bypassing phase 1 altogether, known as fast-tracking, has become an important goal in containing costs in high turnover, ambulatory settings. Anesthetic techniques, particularly implementation of regional anesthesia and multimodal analgesia, have evolved to maximize efficiency. Summary: Anesthetic goals in the setting of high-turnover orthopedic surgery include effective multimodal analgesia, decreasing monotherapy with opioids, and patient education. Regional anesthesia as part of a multimodal analgesic regimen is increasingly used in ambulatory surgery fast-tracking protocols.