Enhanced Recovery Programme

By: Anterior Hip Surgeon  24-Mar-2013
Keywords: Anterior Hip Replacement, Rapid Recovery, Joint Replacements,

Enhanced Recovery Programme Enhanced Recovery often referred to as rapid recovery is an evidence based model aimed at reducing the physical and psychological trauma of surgery, enhancing the process of recovery so patients are fitter and recover faster and achieve a complication-free recovery and thereby shortening hospital stays for patients. The key elements included in the Enhanced Recovery after Joint Replacement surgery pathway are: Preoperative education (especially joint school) Preoperative nutrition Premedication Active peri-operative oxygenation Active prevention of hypothermia during and after surgery Regional anaesthesia to enable early and independent mobilisation Minimally-traumatic surgical approach and control of blood loss Avoidance of peri-operative encumbrances e,g, drains, epidural catheters, pca’s – these "attach" the patients to a bed and prevent mobility No systemic morphine use (to avoid drowsiness, Sickness and Nausea after surgery) Enhanced preoperative and postoperative nutrition Early post-operative mobilisation Early Discharge home when safe, so patients are able to recover in their own home environment (When combined with Local infiltration Analgesia ) Benefits include: Less Pain after surgery Less Nausea and Vomiting No Drug Side-Effects or Sedation Rapid and Improved Rate and Quality of Recovery Less Muscle Weakness Patients being able to Walk within 4 hours after joint replacements Less Post Surgical Complications (deep vein thrombosis, pulmonary embolism and infections) No Inpatient Rehab No Urinary Catheters DischargedHome after a Single overnight stay in hospital. (Individual outcomes may vary)

Keywords: Anterior Hip Replacement, Anterior Hip Surgen, Anterior Hip Surgeon, Early Discharge, Early Mobilization, Enhanced Recovery Programme, Fast Recovery Orthopaedics, Joint Replacements, More Gain, Rapid Recovery,

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Dr. Ikram Nizam is a Melbourne Orthopaedic Surgeon with over 12 years of orthopaedic experience. He was educated in Oxford, Leicester and London, England and then moved to Australia. He spent several years doing Orthopaedic Research in Sydney (Surgical and Orthopaedic Research Laboratories- Prince of Wales Hospital and Joint Orthopaedic Centre, Bondi) on Fracture Healing, Synthetic Bone Grafts, Joint Replacements and Hip Resurfacing, metal-on-metal hips and also completed a Masters at UNSW.