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优化门诊全踝关节置换从临床到疼痛管理的流程。

Optimizing Outpatient Total Ankle Replacement from Clinic to Pain Management.

作者信息

Taylor Michel A, Parekh Selene G

机构信息

Department of Orthopaedic Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27710, USA.

Department of Orthopaedic Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27710, USA; Duke Fuqua School of Business, 100 Fuqua Drive, Durham, NC 27708, USA; North Carolina Orthopedic Clinic, 3609 Southwest Durham Drive, Durham, NC 27707, USA.

出版信息

Orthop Clin North Am. 2018 Oct;49(4):541-551. doi: 10.1016/j.ocl.2018.06.003. Epub 2018 Aug 17.

DOI:10.1016/j.ocl.2018.06.003
PMID:30224015
Abstract

Outpatient total ankle arthroplasty is a potential significant source of cost savings. The ability to institute an effective outpatient total ankle program depends on appropriate patient selection, surgeon experience with total ankle replacement, addressing preoperative patient expectations, the involvement of an experienced multidisciplinary care team including experienced anesthesiologists, nurse navigators, recovery room nursing staff and physical therapists, and most importantly, such a program requires complete institutional logistical support.

摘要

门诊全踝关节置换术是一个潜在的显著成本节约来源。建立一个有效的门诊全踝关节项目的能力取决于合适的患者选择、外科医生进行全踝关节置换的经验、满足术前患者期望、有经验的多学科护理团队的参与,包括经验丰富的麻醉师、护士导航员、恢复室护理人员和物理治疗师,最重要的是,这样一个项目需要完整的机构后勤支持。

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