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[Ambulatory orthopedic surgery].

H Thomsen1, P Angermann, S Backs

  • 1Ortopaedkirurgisk afdeling, Centralsygehuset i Naestved.

Ugeskrift for Laeger
|December 2, 1991
PubMed
Summary

Out-patient orthopaedic surgery under local anesthesia is well-accepted by patients, with most experiencing minimal complications. Pain management, however, requires further consideration for optimal patient outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Anesthesiology

Context:

  • Evaluating patient satisfaction with out-patient orthopaedic procedures.
  • Assessing the feasibility of ambulatory surgery for various orthopaedic interventions.
  • Analyzing the role of local anesthesia in modern surgical practice.

Purpose:

  • To assess patient satisfaction and outcomes of out-patient orthopaedic surgery performed under local anesthesia.
  • To determine the complication rates and patient experience associated with ambulatory orthopaedic procedures.
  • To explore the economic aspects and patient acceptance of day-case orthopaedic surgery.

Summary:

  • A one-year survey analyzed 529 out-patient orthopaedic surgeries on 495 patients, including knee arthroscopies.
  • Results indicate high patient acceptance (nearly 80% would opt for it again) and minimal complications (77% experienced no issues beyond pain).
  • Significant percentages reported pain during local anesthetic administration (30%) and post-surgery (41%), suggesting a need for improved pain management strategies.

Impact:

  • Demonstrates the viability and patient preference for out-patient orthopaedic surgery, potentially reducing healthcare costs.
  • Highlights the need for enhanced pain management protocols, including pre- and post-operative analgesics, for improved patient comfort.
  • Provides insights into patient-reported outcomes, informing future practice guidelines for ambulatory orthopaedic procedures.

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