Barrington John W
Baylor Medical Center at Frisco Joint Replacement Center, Plano, TX.
Am J Orthop (Belle Mead NJ). 2015 Oct;44(10 Suppl):S21-2.
There is a growing interest in performing joint arthroplasty on an outpatient or short-stay basis. Several factors make the hospital environment itself less than ideal for providing optimal health care, and follow-up of hospitalized patients represents a substantial time burden for the orthopedic surgeon. Essential components of a successful outpatient arthroplasty program include: robust screening of patients to ensure selection of appropriate candidates; preoperative patient preparation, including setting appropriate expectations; modification of surgical approaches where appropriate; and proactive, multimodal pain management to enable patients to walk earlier after surgery, so that they can be discharged home the same day.
门诊或短期住院进行关节置换术的兴趣日益浓厚。有几个因素使得医院环境本身并不理想，不利于提供最佳的医疗保健，而且对住院患者的随访给骨科医生带来了相当大的时间负担。成功的门诊关节置换术计划的基本要素包括：对患者进行全面筛查，以确保选择合适的候选人；术前对患者进行准备，包括设定适当的预期；在适当情况下修改手术方法；以及积极的多模式疼痛管理，以使患者术后能更早行走，从而能在同一天出院回家。
