alexa Total knee arthroplasty as an overnight-stay procedure using continuous femoral nerve blocks at home: a prospective feasibility study.
Anesthesiology

Anesthesiology

Journal of Anesthesia & Clinical Research

Author(s): Ilfeld BM, Gearen PF, Enneking FK, Berry LF, Spadoni EH,

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Abstract The average duration of hospitalization after total knee arthroplasty (TKA) in the United States is 4-5 days. In this two-phase study we investigated the feasibility of converting TKA into an overnight-stay procedure using a continuous femoral nerve block provided at home through postoperative day 4. Nine of 10 patients met discharge criteria and were discharged home the day after surgery. Pain was well controlled, opioid requirements and sleep disturbances were minimal, and patient satisfaction was high. Additional research is required to replicate these results in a controlled trial, define the appropriate subset of patients, and assess the incidence of complications associated with this practice before its mainstream use. This article was published in Anesth Analg and referenced in Journal of Anesthesia & Clinical Research

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