High turnover for ambulatory orthopedic surgery

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

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.

Original languageEnglish
Pages (from-to)659-665
Number of pages7
JournalCurrent Opinion in Anaesthesiology
Volume34
Issue number5
DOIs
StatePublished - 1 Oct 2021

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