Fast track in total hip and knee arthroplasty - experiences from Hvidovre University Hospital, Denmark

Husted, Henrik; Holm, Gitte

doi:10.1016/s0020-1383(07)70009-8

Cited by 61 publications

(71 citation statements)

References 11 publications

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“…Hospital stay was short (about 3 days) before discharge to home with our fast-track regimen (Husted and Holm 2006), and there was no difference between groups. However, the study was not powered to detect potential differences in hospital stay as a result of improved analgesia.…”

Section: Discussionmentioning

confidence: 86%

A compression bandage improves local infiltration analgesia in total knee arthroplasty

Andersen¹,

Husted²,

Otte³

et al. 2008

Acta Orthopaedica

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Background High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated.Methods 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively.Results Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). Interpretation A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty.

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Section: Discussionmentioning

confidence: 86%

A compression bandage improves local infiltration analgesia in total knee arthroplasty

Andersen¹,

Husted²,

Otte³

et al. 2008

Acta Orthopaedica

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“…Slowly but surely, orthopaedic surgeons are convinced of revolutionary changes on evidencebased interventions within the elective knee arthroplasty [16][17][18][19]21]. Success requires the implementation of a clear pathway applying a selected number of scientifically supported procedures, used together and implemented in a multimodal care pathway [15,19,20,33]. Outpatient surgery (OS) pathways are designed for patients initiated for elective surgery on the day of admission into the hospital with a planned discharge, without an overnight stay in a hospital bed [32].…”

Section: Introductionmentioning

confidence: 99%

Outpatient surgery for unicompartmental knee arthroplasty is effective and safe

Kort

Bemelmans

Schotanus

2015

Knee Surg Sports Traumatol Arthrosc

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“…Recently, enhanced recovery after surgery (ERAS) or "fast-track surgery" programs have been implemented in an attempt to modify the psychological and metabolic stressors of major surgery. 30 A consequent reduction in postoperative complications and hospital stays associated with colorectal surgery, 31-38 urological, 39,40 and orthopedic [41][42][43][44][45][46][47][48] procedures was reported. Various interventional components are required to facilitate postoperative recovery.…”

Section: Perioperative Glycemic Control For Enhanced Recovery After Smentioning

confidence: 99%

Progressive artificial endocrine pancreas: The era of novel perioperative blood glucose control for surgery

2011

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Strict glycemic control needs to be maintained in critically ill surgical patients to reduce the mortality and morbidity due to hyperglycemia and associated infection. However, conventional intensive insulin therapy (IIT), which consists of intermittent blood glucose measurement and manually controlled infusions of insulin, tends to induce hypoglycemia and glucose variability. Many randomized clinical trials have been conducted to improve the efficacy of IIT, although some of these were stopped owing to frequent hypoglycemia. In pursuing safe and strict glycemic control for critically ill surgical patients, we found that a closed-loop glycemic control system was able to maintain appropriate blood glucose levels without hypoglycemia in more than 400 clinical cases. Considering the need for the perioperative and intensive care environment, a well-established artificial pancreas was modified into a new closed-loop glycemic control system, called the progressive artificial pancreas. The new device is slim in shape and shows clinical compatibility with the conventional artificial pancreas. We herein review this new closed-loop glycemic control system and the expectations for its future application in critically ill surgical patients.

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Fast track in total hip and knee arthroplasty - experiences from Hvidovre University Hospital, Denmark

Cited by 61 publications

References 11 publications

A compression bandage improves local infiltration analgesia in total knee arthroplasty

A compression bandage improves local infiltration analgesia in total knee arthroplasty

Outpatient surgery for unicompartmental knee arthroplasty is effective and safe

Progressive artificial endocrine pancreas: The era of novel perioperative blood glucose control for surgery

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