Anderson Orthopaedic Research Institute, Alexandria, VA.
J Arthroplasty. 2019 Jul;34(7S):S46-S47. doi: 10.1016/j.arth.2018.12.043. Epub 2019 Jan 7.
Converting from an inpatient to an outpatient total joint arthroplasty program is achievable, with a concerted effort from all members of the clinical team. This paper highlights key factors that allow for a successful implementation of an outpatient center. First, consistent messaging about patient safety is crucial in helping to assuage the patient's concerns of getting an outpatient procedure, and to eliminate inpatient mentality. Next, earlier handout of prescriptions for medications, assisted devices, or web-based educational materials during preoperative preparations can also allow for a rapid home discharge. Finally, multimodal pain management before, during and after surgery can also pave the way for a smoother transition to daily living.
将住院病人的全关节置换手术转变为门诊手术是可行的，这需要临床团队全体成员的共同努力。本文重点介绍了使门诊中心成功实施的关键因素。首先，关于患者安全的一致信息对于帮助减轻患者对门诊手术的担忧和消除住院心态至关重要。其次，在术前准备期间更早地发放药物、辅助器械或基于网络的教育材料的处方，也可以使患者更快地出院回家。最后，手术前、手术中和手术后的多模式疼痛管理也可以为更顺利地过渡到日常生活铺平道路。
