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Does total intravenous anesthesia with short-acting spinal anesthetics in primary hip and knee arthroplasty facilitate early hospital discharge?

Journal of the American Academy of Orthopedic Surgeons May 25, 2018

Klavas DM, et al. - Experts evaluated the impact of total intravenous anesthesia (TIVA) with short-acting spinal anesthesia and aggressive day-of-surgery postoperative day 0 physical therapy (POD#0 PT) on hospital length of stay (LOS) in patients who underwent primary total joint arthroplasty. They conducted a retrospective chart review that compared the hospital LOS of patients who underwent primary total hip arthroplasty and total knee arthroplasty with TIVA and short-acting spinal blockade (“Updated protocol group”) with that of the control group patients who were under standard anesthesia (“Traditional protocol group”). More day-of-surgery PT sessions and earlier discharge by nearly 1 full day were provided by total intravenous anesthesia combined with short-acting spinal anesthetics for patients who underwent primary total joint arthroplasty.
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