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Review
. 2021 Oct 1;34(5):659-665.
doi: 10.1097/ACO.0000000000001045.

High turnover for ambulatory orthopedic surgery

Ali Shariat  1 , Berend Marcus  2 , Malikah Latmore  1
Affiliations
Review

High turnover for ambulatory orthopedic surgery

Ali Shariat et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: The trend in the perioperative management of patients having orthopedic surgery in the ambulatory setting emphasizes time-efficiency and rapid turnovers. Anesthetic techniques and management continue to evolve to increase efficiency and decrease time spent in recovery.

Recent findings: Minimizing time patients spend in phase 1 recovery or bypassing phase 1 altogether, known as fast-tracking, has become an important goal in containing costs in high turnover, ambulatory settings. Anesthetic techniques, particularly implementation of regional anesthesia and multimodal analgesia, have evolved to maximize efficiency.

Summary: Anesthetic goals in the setting of high-turnover orthopedic surgery include effective multimodal analgesia, decreasing monotherapy with opioids, and patient education. Regional anesthesia as part of a multimodal analgesic regimen is increasingly used in ambulatory surgery fast-tracking protocols.

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