Rapid Recovery or Enhanced Recovery Programme in Joint replacements

By: Ikram Nizam  30-Mar-2013
Keywords: Knee Replacement, Hip Replacement, Hip Arthroscopy

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) Regional anaesthesia (LIA) to enable Early Mobilisation 3-4 hours after surgery 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) Early discharge home Benefits of Rapid Recovery or Enhanced Recovery: 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 Surgery, Early Mobilisation, Enhanced Recovery Programme, Hip Arthroscopy, Hip Replacement, Knee Replacement, Rapid Recovery, Rapid Recovery Hip Replacement, Rapid Recovery Knee Replacement, Rapid Recovery Orthopaedics, Rapid Recovery Programme, Rapid Recovery Surgeon, Revision Knee Replacement,