July 24, 2018Anesthesia & Analgesia
Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: Focus on Anesthesiology for Total Hip Arthroplasty
Key result
An evidence review supports the use of specific pre-, intra-, and postoperative anesthetic interventions within ERAS protocols to improve outcomes and facilitate recovery after total hip arthroplasty.
Population
Patients undergoing total hip arthroplasty (THA)
Design
Review
Authors
Discussion
Loading...
Member takes
Implication
May support targeted anesthetic interventions in ERAS for hip arthroplasty; leaves open the need for prospective validation before practice change.
Structured PICO
P
Population
Patients undergoing total hip arthroplasty (THA)
I
Intervention
Anesthesiology-related interventions for pre- (carbohydrate loading/fasting, multimodal preanesthetic medications), intra- (standardized intraoperative pathway, regional anesthesia, ventilation, tranexamic acid, fluid minimization, glycemic control), and postoperative (multimodal analgesia) phases of care
O
Outcome
Outcomes and recovery after THA (including patient satisfaction, length of hospital stay, and cost savings)
An evidence review supports the implementation of specific pre-, intra-, and postoperative anesthesiology interventions within enhanced recovery after surgery (ERAS) protocols to improve outcomes in total hip arthroplasty.
Cite This Study
Soffin et al. (2018) conducted a review in Total Hip Arthroplasty (THA). Anesthetic interventions for enhanced recovery after surgery (ERAS) protocols was evaluated. An evidence review supports the use of specific pre-, intra-, and postoperative anesthetic interventions within ERAS protocols to improve outcomes and facilitate recovery after total hip arthroplasty.