Journal
ANESTHESIA AND ANALGESIA
Volume 102, Issue 1, Pages 87-90Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1213/01.ane.0000189562.86969.9f
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Funding
- NATIONAL CENTER FOR RESEARCH RESOURCES [M01RR000082] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES [K23GM077026] Funding Source: NIH RePORTER
- NCRR NIH HHS [M01-RR00082] Funding Source: Medline
- NIGMS NIH HHS [K23-GM077026] Funding Source: Medline
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The average duration of hospitalization after total knee arthroplasty (TKA) in the United States is 4-5 days. In this two-phase study we investigated the feasibility of converting TKA into an overnight-stay procedure using a continuous femoral nerve block provided at home through postoperative day 4. Nine of 10 patients met discharge criteria and were discharged home the day after surgery. Pain was well controlled, opioid requirements and sleep disturbances were minimal, and patient satisfaction was high. Additional research is required to replicate these results in a controlled trial, define the appropriate subset of patients, and assess the incidence of complications associated with this practice before its mainstream use.
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