scholarly journals A Literature-Based Resource for the Development of Outpatient Arthroplasty Patient Selection Criteria

2021 ◽  
Vol 11 ◽  
Author(s):  
Joseph Gondusky ◽  
Richard Pahapill ◽  
Christian Coulson

Total joint arthroplasty (TJA) is moving towards the outpatient setting. Teams must develop patient selection criteria to ensure appropriate candidates are treated at the optimal site of care.  Protocols and recommendations have been developed to aid care teams in developing patient selection criteria, but these come from multiple disparate sources.  We review the available literature on patient selection criteria and optimization in the outpatient TJA population, and synthesize this information into a workable format for care design.  We hope to provide a resource to stakeholders that can be tailored to their unique outpatient facility.    Keywords: Total joint arthroplasty, outpatient, same day discharge, selection criteria, patient optimization.

2016 ◽  
Vol 25 (9) ◽  
pp. 2668-2675 ◽  
Author(s):  
Nanne P. Kort ◽  
Yoeri F. L. Bemelmans ◽  
P. Hugo M. van der Kuy ◽  
Jacqueline Jansen ◽  
Martijn G. M. Schotanus

1999 ◽  
Vol 161 (4) ◽  
pp. 1145-1147 ◽  
Author(s):  
F. SASSO ◽  
G. GULINO ◽  
J. WEIR ◽  
A.M. VIGGIANO ◽  
E. ALCINI

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Abhijit Jagdale ◽  
Vineeta Kumar ◽  
Douglas J. Anderson ◽  
Jayme E. Locke ◽  
Michael J. Hanaway ◽  
...  

Author(s):  
Jason Baker Fields ◽  
William F. Haning ◽  
Yngvild Olsen

This chapter is about patient selection criteria and the dosing recommendations for methadone, buprenorphine, and naltrexone. It also addresses the legal and documentation issues uniquely associated with the former two medications, and specific complicating circumstances such as hepatic impairment, pregnancy, breast-feeding, and respiratory compromise. Risk factors including concurrent use of benzodiazepines and alcohol are addressed, as well as the intrinsic risks of the medications themselves (e.g., seizures for buprenorphine, respiratory arrest with methadone). The objective of the chapter is to orient the primary care provider to available pharmacotherapies in the outpatient setting; the need for parallel or integrated psychosocial treatment is implicit. Accompanying text boxes include additional resources and a discussion of the changing federal regulations regarding patient population limits for buprenorphine prescribers.


2019 ◽  
Vol 35 (08) ◽  
pp. 622-630
Author(s):  
Han Gyu Cha ◽  
Min Kyu Kang ◽  
Hyun Ho Han ◽  
Eun Key Kim ◽  
Jin Sup Eom

Abstract Background The low deep inferior epigastric perforator (DIEP) flap was first introduced in 2016 as it had aesthetic advantages over the conventional DIEP flap. With our experience of over 100 low DIEP flap procedures to date, we have conspicuously lowered complication rates and established more definitive criteria to select proper candidates. Methods We analyzed 103 patients who underwent breast reconstruction with the low DIEP flap at our hospital between May 2014 and June 2018. Demographics, patient selection criteria, flap specifics, surgical outcomes including postoperative complications, and the location of the abdominal scar and umbilicus were reviewed retrospectively. Results The mean patient age was 46.7 years, and the average body mass index was 23.7 kg/m2. A low DIEP with an average weight of 377 g was utilized within 6 hours 17 minutes in this cohort. There was no significant difference in the rate of venous congestion or fat necrosis compared with the conventional DIEP flap. The average distance from the pubic hairline to the abdominal scar was 0.6 cm and from the anterior superior iliac spine to the abdominal scar was −0.4 cm. The postoperative location of the umbilicus was 7.0 cm above the pubic hairline. Conclusion The low DIEP flap is not only a reliable option for a breast reconstruction but is an aesthetically superior approach with a lower abdominal scar and natural umbilicus. Patients may benefit from this technique if prudently selected by computed tomography (CT) angiography. A perforator that is larger than 1 mm in diameter and well enhanced on CT angiography from the division of the external iliac artery to the abdominal skin particularly in the intramuscular course should be selected.


Heart ◽  
1996 ◽  
Vol 75 (5) ◽  
pp. 455-462 ◽  
Author(s):  
G. A. Haywood ◽  
P. R. Rickenbacher ◽  
P. T. Trindade ◽  
L. Gullestad ◽  
J. P. Jiang ◽  
...  

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