[Perioperative management in fast-track arthroplasty]

Area of Science:

• Orthopedic Surgery
• Anesthesiology
• Pain Management

Background:

• Fast-track programs are crucial for efficient clinical routines, especially in joint replacement surgery.
• Early postoperative mobilization is key to reducing pain and complications.
• Evidence-based strategies are needed for peri- and intraoperative care.

Purpose of the Study:

• To provide a comprehensive overview of evidence-based fast-track treatment methods.
• To detail peri- and intraoperative strategies for joint replacement surgery.
• To highlight the importance of interdisciplinary collaboration.

Main Methods:

• Intraoperative local infiltration analgesia for pain management.
• Tranexamic acid application to reduce blood loss.
• Minimally invasive surgical techniques under spinal anesthesia.
• Elimination of drains, catheters, tourniquets, and post-operative restrictions.

Main Results:

• Optimized pain management through local infiltration and multimodal analgesia.
• Reduced complications and length of hospital stay.
• Facilitation of early patient mobilization and recovery.

Conclusions:

• Evidence-based fast-track protocols significantly improve patient outcomes in joint replacement surgery.
• Multimodal perioperative care, including minimally invasive surgery and optimized analgesia, is effective.
• Renouncing unnecessary interventions like drains and catheters enhances recovery.