Hip and Knee Arthroplasty - 27/02/22

Doi : 10.1016/j.anclin.2021.11.003

Ellen M. Soffin, MD, PhD ^a,^⁎ , Thomas W. Wainwright, PT ^b
^a Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
^b Orthopaedic Research Institute, Bournemouth University, 89 Holdenhurst Road, Bournemouth, Dorset BH8 8FT, UK

^∗Corresponding author. .

Resumen

Variation in care is associated with variation in outcomes after total joint arthroplasty (TJA). Accordingly, much research into enhanced recovery efficacy for TJA has been devoted to linking standardization with better outcomes. This article focuses on recent advances suggesting that variation within a set of core protocol elements may be less important than providing the core elements within enhanced recovery pathways for TJA. Provided the core elements are associated with benefits for patients and health care system outcomes, variation in the details of their provision may contribute to a pathway’s success. This article provides an updated review of the literature.

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Keywords : Enhanced recovery after surgery, ERAS, Total joint arthroplasty, Total hip arthroplasty, Total knee arthroplasty, Pathways, Analgesia, Peripheral nerve blocks