Enhanced Recovery Programme

By: ozorthopaedics  24-Mar-2013
Keywords: Enhanced Recovery Programme, Early Mobilization, Local Infiltraiton Analgesia,

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. Enables patients to walk as early as 3-4 hours after joint replacements and most can go home a day after surgery. 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

Keywords: Early Mobilization, Enhanced Recovery Programme, Local Infiltraiton Analgesia,

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