We have implemented the ERAS (Enhanced Recovery After Surgery) programme at our hospital. This is an innovative approach to knee replacement surgery that aims to optimize patient outcomes, improve recovery, and minimize complications. This approach involves a multidisciplinary team of healthcare professionals working together to implement evidence-based practices before, during, and after the surgery.
The ERAS Society, an organization dedicated to promoting ERAS protocols worldwide, provides valuable information for patients and physiotherapists health care professionals on their website (https://erassociety.org/patients/). Let's explore some key points about ERAS for knee replacement surgery:
Preoperative Preparation: ERAS emphasizes the importance of preparing patients physically and mentally before the surgery. This may involve exercises to strengthen the muscles around the knee joint, optimizing nutritional status, and smoking cessation if necessary. It also focuses on providing patients with comprehensive information about the procedure, expected recovery, and what to expect during their hospital stay.
Anesthesia and Pain Management: ERAS protocols employ modern anesthesia techniques to minimize the side effects and promote faster recovery. This may involve the use of regional anesthesia, such as spinal or epidural anesthesia, which can provide effective pain control while reducing the need for general anesthesia. Additionally, ERAS emphasizes the use of multimodal pain management approaches, combining different medications and techniques to manage pain effectively while minimizing opioid use.
Surgical Techniques: ERAS encourages the use of minimally invasive surgical techniques whenever possible. Minimally invasive approaches involve smaller incisions and less tissue disruption, leading to reduced pain, quicker recovery, and shorter hospital stays. Surgeons trained in advanced techniques can perform knee replacement surgeries with precision and accuracy, resulting in better outcomes.
Early Mobilization and Rehabilitation: ERAS promotes early mobilization and rehabilitation as crucial components of the recovery process. Physical therapists work closely with patients to develop individualized exercise programs that begin shortly after surgery. Early mobility helps prevent complications such as blood clots, reduces muscle atrophy, and accelerates the return to normal activities. It does helps a lot to book an appointment with the physiotherapists before the operation so they can show you what to expect.
Nutritional Support: ERAS recognizes the significance of proper nutrition in the recovery process. Adequate nutrition helps optimize the healing process, boosts the immune system, and enhances overall recovery. ERAS protocols may include specific nutritional guidelines, such as protein supplementation, to support optimal recovery. .
Discharge Planning and Follow-up: ERAS focuses on planning for discharge from the hospital as early as possible. The care team collaborates to ensure patients have appropriate support, such as home care services, physical therapy, or rehabilitation facilities. Additionally, follow-up appointments are scheduled to monitor the progress and address any concerns after the surgery.
By implementing these evidence-based practices, ERAS for knee replacement surgery aims to reduce postoperative pain, minimize complications, shorten hospital stays, and facilitate a faster return to normal activities. It provides patients with a comprehensive and coordinated approach to ensure a successful recovery.
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