Patient education and anesthesia choice for total knee arthroplasty

Elkassabany, Nabil; Abraham, Daniel; Huang, Stephanie; Kase, Brandon; Pio, Finnah; Hume, Eric; Israelite, Craig L.; Liu, Jiabin

doi:10.1016/j.pec.2017.04.014

Cited by 15 publications

(10 citation statements)

References 22 publications

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“…Finally, some approaches to patient education empower patients to participate in key decision‐making relating to their recovery. In some settings, this has facilitated greater alignment of patient and clinician perceptions of risk, such as the choice of regional anaesthesia (rather than general anaesthesia) during orthopaedic procedures [24]. In the setting of colorectal surgery, previous qualitative evidence has shown that patients want to be pro‐actively involved in their recovery to facilitate a return to their everyday lives [25].…”

Section: Discussionmentioning

confidence: 99%

Patient education about recovery after colorectal surgery: systematic scoping review

et al. 2020

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Aim Enhanced recovery after surgery (ERAS) protocols aim to optimize recovery through a series of evidencebased recommendations. A key component of ERAS is the provision of patient education. Whilst the recommendation for this is strong, the evidence to inform its format, timing and delivery is unclear. The aim of this review was to describe previous educational interventions used to improve recovery after colorectal surgery and to explore opportunities for future research. Conclusions Patient education is generally advantageous, but there is insufficient evidence to optimize its design and delivery in the setting of colorectal surgery.

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Section: Discussionmentioning

confidence: 99%

Patient education about recovery after colorectal surgery: systematic scoping review

et al. 2020

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“… 24 Several cohort studies have demonstrated that PPEs may decrease LOS and the incidence of falls in the immediate postoperative period. 25 , 26 In a study by Clarke et al, 27 PPE also increased the likelihood of spinal anesthesia over general anesthesia. However, randomized control trials, systematic reviews, and meta-analyses have failed to show consistent improvements in validated PRO scores, patient anxiety, LOS, functional outcomes, or complication rates.…”

Section: Preoperative Educationmentioning

confidence: 98%

“… 45 , 46 However, for patients with a Revised Cardiac Risk Index (RCRI) score of ≥3 (risk factors include diabetes, heart failure, CAD, renal insufficiency, and cerebrovascular accident) or newly diagnosed ischemic heart disease requiring β blockers, adequate lead time of 2–7 days should be provided for the cardiologist to properly assess the patient’s tolerance to the drug. 26 Meanwhile, ACEIs and angiotensin receptor blockers (ARBs) should be discontinued on the day of surgery and restarted in the immediate postoperative period once the patient is euvolemic. Several studies have demonstrated an increased incidence of postinduction hypotension (OR 1.93–5.8), postoperative acute kidney injury (AKI; OR 2.68), LOS (3.3 vs 5.8), and use of ephedrine (OR 3.2).…”

Section: Cardiac Optimization and Vte Prophylaxismentioning

confidence: 99%

Total knee arthroplasty: improving outcomes with a multidisciplinary approach

Feng¹,

Novikov²,

Anoushiravani³

et al. 2018

JMDH

130

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Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. As value-based care initiatives continue to focus on hospital readmission rates and patient satisfaction, it has become essential for health care providers to develop and implement a multidisciplinary approach to enhance TKA outcomes while minimizing unnecessary expenditures. Through this necessity, clinical care pathways have been developed to standardize, organize, and improve the quality and efficiency of patient care while simultaneously encouraging the collaboration among various medical care providers. Here, we review several systems based programs and specialty care practices that can be adopted into the standard orthopedic practice.

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“…Patient awareness about anesthesia and the role of anesthetists can be influenced by patient-related barriers such as poor educational level and anesthesia exposure, as well as health professionals’ related problems such as deficit in community awareness creation and patient education [ 3 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Awareness and its associated factors towards anesthesia and anesthetists’ among elective surgical patients in Debre Tabor Comprehensive Specialized Hospital, North Central Ethiopia 2021: Cross-sectional study

Fentie

Simegnew

2021

Annals of Medicine &Amp; Surgery

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Background Patient awareness level of anesthesia and anesthetist is not well known in the study area which makes patients blind about the risk and benefits of anesthesia and the role of anesthetists'. This study aimed to assess elective surgical patients' awareness and its associated factors of anesthesia and anesthetists’ in Debre tabor comprehensive specialized Hospital, north-central Ethiopia, 2021. Method Institutional based cross-sectional study was conducted on 367 patients who underwent for elective general surgery in Debre Tabor Comprehensive Specialized Hospital from December 15, 2020, up to May 15, 2021. Data were collected with a structured questionnaire of 13 items after translating the English version to the local language (Amharic). Descriptive statistics were expressed in percentage and presented with tables. Bivariable and multivariable logistic analysis were done to identify factors associated with the awareness level of patients on anesthesia and anesthetists. Statistical significance level was set at P < 0.05 with 95 % CI. Results In this study, 25.1 % [95 % CI= (20.7–29.6)] of patients were adequately aware of anesthesia and anesthetist. Multivariable logistic analyses showed that male patients [AOR = 1.90; 95 % CI= (1.03–3.52)], level of education of secondary school [AOR = 3.20; 95 % CI= (1.07–9.61)] and collage and above [AOR = 4.75; 95 % CI= (1.73–13.06)], patients from Urban [AOR = 6.34; 95 % CI= (3.01–13.39)], and patients with previous anesthesia exposure [AOR = 3.43; 95 % CI= (1.76–6.69)] were more aware of anesthesia and anesthetist than their counterparts. Conclusion The awareness level of patients about anesthesia and anesthetists in this study was poor. Sex, residency, educational level, and previous anesthesia exposure were factors associated with patients’ awareness level of anesthesia and anesthetists.

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Patient education and anesthesia choice for total knee arthroplasty

Cited by 15 publications

References 22 publications

Patient education about recovery after colorectal surgery: systematic scoping review

Patient education about recovery after colorectal surgery: systematic scoping review

Total knee arthroplasty: improving outcomes with a multidisciplinary approach

Awareness and its associated factors towards anesthesia and anesthetists’ among elective surgical patients in Debre Tabor Comprehensive Specialized Hospital, North Central Ethiopia 2021: Cross-sectional study

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