Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

630
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
630

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effects of perioperative enhanced recovery after surgery pathway management versus traditional management on the clinical outcomes of laparoscopic-assisted radical resection of distal gastric cancer: study protocol for a randomized controlled trial.

Trials·2020
Same author

Postoperative 30-day complications after cemented/hybrid versus cementless total hip arthroplasty in osteoarthritis patients > 70 years.

Acta orthopaedica·2020
Same author

Stress dose steroids-take another look at the literature.

Canadian journal of anaesthesia = Journal canadien d'anesthesie·2020
Same author

Enhanced recovery after surgery components and perioperative outcomes: a nationwide observational study.

British journal of anaesthesia·2020
Same author

N-Methyl-D-Aspartate Antagonists and Steroids for the Prevention of Persisting Post-Surgical Pain After Thoracoscopic Surgeries: A Randomized Controlled, Factorial Design, International, Multicenter Pilot Trial.

Journal of pain research·2020
Same author

ERAS guidelines for hip and knee replacement - need for reanalysis of evidence and recommendations?

Acta orthopaedica·2020
Same journal

Incomplete Recovery of Diaphragmatic Mechanics at a Train-of-Four Ratio of 0.90 to <0.95 Assessed by Dynamic Digital Radiography: A Proof-of-Concept Case Series.

Anesthesia and analgesia·2026
Same journal

Patients' Perspectives and Experiences of Participating in Anesthesia Research: A Qualitative Study.

Anesthesia and analgesia·2026
Same journal

Impact of Epidural-Related Maternal Fever on Neonatal Outcomes: A Single-Center Retrospective Case-Control Study Excluding Confirmed Histological Chorioamnionitis.

Anesthesia and analgesia·2026
Same journal

Patient Beliefs and Experiences of Adhering to Medical Therapies for Cardiovascular Comorbidities, Before Noncardiac Elective Surgery in South Africa: A Mixed-Methods Study.

Anesthesia and analgesia·2026
Same journal

Beyond Administrative Indices: Allostatic Load and Autonomic Dyshomeostasis as Biological Mediators of Intraoperative Cardiac Arrest.

Anesthesia and analgesia·2026
Same journal

In Response.

Anesthesia and analgesia·2026
See all related articles

Related Experiment Video

Updated: Apr 30, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.0K

Cognitive dysfunction after fast-track hip and knee replacement.

Lene Krenk1, Henrik Kehlet, Torben Bæk Hansen

  • 1From the *Section of Surgical Pathophysiology and †Department of Anesthesia, Centre of Head and Orthopedics, Rigshospitalet, University of Copenhagen; ‡The Lundbeck Centre for Fast-Track Hip and Knee Arthroplasty, Copenhagen; §Department of Orthopaedic Surgery, Holstebro Hospital, Holstebro; ‖Department of Orthopaedic Surgery, Gentofte Hospital, Gentofte; ¶Department of Orthopaedic Surgery, Århus University Hospital, Århus; and #Department of Anesthesia, Centre of Head and Orthopaedics, University Hospital of Copenhagen, Copenhagen, Denmark.

Anesthesia and Analgesia
|May 1, 2014
PubMed
Summary
This summary is machine-generated.

Postoperative cognitive dysfunction (POCD) incidence was lower after fast-track hip/knee replacement surgery. However, late-onset POCD occurred at rates similar to previous studies, with no clear link to early dysfunction.

More Related Videos

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

2.9K
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
07:35

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

2.5K

Related Experiment Videos

Last Updated: Apr 30, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.0K
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

2.9K
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
07:35

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

2.5K

Area of Science:

  • Anesthesiology
  • Geriatric Medicine
  • Neurosurgery

Background:

  • Postoperative cognitive dysfunction (POCD) affects up to 20% of patients after major surgery, particularly the elderly.
  • Pathogenic mechanisms of POCD remain unclear, with varied diagnostic methods in existing research.
  • Optimized perioperative care, including fast-track protocols, aims to mitigate surgical complications.

Purpose of the Study:

  • To evaluate the incidence and characteristics of POCD in elderly patients undergoing major joint replacement surgery.
  • To assess the impact of a standardized fast-track perioperative approach on POCD rates.
  • To investigate potential associations between early and late POCD.

Main Methods:

  • Prospective multicenter study of 225 patients aged ≥60 undergoing fast-track total hip or knee replacement.
  • Neuropsychological testing preoperatively, 1-2 weeks, and 3 months postoperatively.
  • Data collected on length of stay (LOS), pain, opioid use, inflammatory markers, and sleep quality; control group used to assess practice effects.

Main Results:

  • Median LOS was 2 days.
  • Incidence of POCD was 9.1% at 1-2 weeks and 8.0% at 3 months.
  • No significant differences in pain, opioid use, sleep, or C-reactive protein between POCD and non-POCD groups; early POCD patients had higher preoperative Mini Mental State Examination scores.

Conclusions:

  • Fast-track approach may reduce early POCD incidence after joint replacement compared to previous reports.
  • Late POCD incidence was similar to that observed in major noncardiac elective surgery studies.
  • The study was underpowered to verify an association between early and late POCD.