Federal Practitioner 2021
DOI: 10.12788/fp.0124
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Reduction of Opioid Use With Enhanced Recovery Program for Total Knee Arthroplasty

Abstract: Background: Adequate pain control after total knee arthroplasty (TKA) is critically important to achieve early mobilization, shorten the length of hospital stay, and reduce postoperative complications. At Veterans Affairs North Texas Health Care System (VANTHCS) in Dallas, we implemented a multidisciplinary enhanced recovery after surgery (ERAS) protocol to deal with increasing length of stay and postoperative pain. We hypothesize that this protocol will reduce the overall opioid burden and decrease inpatient … Show more

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Cited by 3 publications
(8 citation statements)
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“…Of these articles, 11 are for fracture-related procedures [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. There are 14 articles on joint replacement-related surgery [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ] and 15 articles on spine surgery [ 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. The relevant literature search and exclusion process is shown in Figure 1 .…”
Section: Resultsmentioning
confidence: 99%
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“…Of these articles, 11 are for fracture-related procedures [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. There are 14 articles on joint replacement-related surgery [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ] and 15 articles on spine surgery [ 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. The relevant literature search and exclusion process is shown in Figure 1 .…”
Section: Resultsmentioning
confidence: 99%
“… ( A ): Risk of bias assessment in studies. ( B ): Risk of bias assessment in each study [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. …”
Section: Figurementioning
confidence: 99%
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“…In response to variations in current pain management practices, endorsement of standardized anesthesia and analgesia is repeatedly echoed in the recent literature. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The ERAS pain management strategies aimed to optimize patients' health status and addressed the themes of procedural-specificity, 13,14,16,18,21,22,24,26,[28][29][30][31][32]34,[36][37][38][39]43 opioid-sparing, [13][14][15][16][17][18][21][22][23][24][26][27]…”
Section: Appraising the Literaturementioning
confidence: 99%
“…In response to variations in current pain management practices, endorsement of standardized anesthesia and analgesia is repeatedly echoed in the recent literature 13‐31 . The ERAS pain management strategies aimed to optimize patients’ health status and addressed the themes of procedural‐specificity, 13,14,16,18,21,22,24,26,28‐32,34,36‐39,43 opioid‐sparing, 13‐15,16‐18,21‐24,26‐39,43 and multimodal analgesia 13‐15,16‐18,21‐24,26‐35,37‐39,43 .…”
Section: Appraising the Literaturementioning
confidence: 99%