Total knee arthroplasty as an overnight-stay procedure using continuous femoral nerve blocks at home: a prospective feasibility study.

Abstract:

: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.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Ilfeld BM,Gearen PF,Enneking FK,Berry LF,Spadoni EH,George SZ,Vandenborne K

doi

10.1213/01.ane.0000189562.86969.9f

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

87-90

issue

1

eissn

0003-2999

issn

1526-7598

pii

102/1/87

journal_volume

102

pub_type

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