Harrison Alicia K, Throckmorton Thomas W, Shumate Daniel H, Braman Jonathan P
Instr Course Lect. 2020;69:575-582.
Shoulder arthroplasty has traditionally been viewed as an inpatient procedure because of the inherent medical comorbidities associated with an aging population and the need for postoperative pain control. Recent studies have shown that in appropriately selected patients, shoulder arthroplasty procedures can be safely done as outpatient procedures and can deliver economic value in today's cost-conscious health care environment. Several factors help ensure a successful surgical outcome, including cooperation from the ambulatory anesthesia service, proper patient selection, and perioperative pain control. Postoperatively, provider availability is vital to complete a seamless patient experience. With appropriate algorithms and care plans in place, outpatient shoulder arthroplasty can be a safe and cost-efficient procedure. The advances pioneered by outpatient shoulder arthroplasty will also serve to benefit inpatient shoulder arthroplasty patients via improved pain control, perioperative education, and potentially decreased length of stay.
由于与老龄化人口相关的内在医疗合并症以及术后疼痛控制的需要，肩关节置换术传统上被视为一种住院手术。最近的研究表明，在适当选择的患者中，肩关节置换手术可以作为门诊手术安全地进行，并且在当今注重成本的医疗环境中可以产生经济价值。几个因素有助于确保手术成功，包括门诊麻醉服务的配合、合适的患者选择以及围手术期疼痛控制。术后，医疗服务提供者的可及性对于实现无缝的患者体验至关重要。通过适当的算法和护理计划，门诊肩关节置换术可以是一种安全且具有成本效益的手术。门诊肩关节置换术所开创的进展也将通过改善疼痛控制、围手术期教育以及可能缩短住院时间，使住院肩关节置换术患者受益。
