Orthopaedic nursing
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Orthopaedic nursing · Jul 2012
Joint replacement and rapid mobilization: a clinical perspective on rapid arthroplasty mobilization protocol.
Rapid arthroplasty mobilization protocol (RAMP) is a multimodal approach that has been trialed and implemented over the past 9 years in an Australian hospital, on patients undergoing either a total hip or knee arthroplasty. The aim strongly focuses on improving patient outcomes, by alleviating many of the postoperative problems associated with total joint arthroplasty, such as pain control, early mobilization, nausea and vomiting, deep vein thrombosis, and increased length of hospital stay. In addition, RAMP is aimed at accelerating wellness to encourage a rapid return to optimum function within the individual. Key elements of this procedure are good communication and an understanding of the protocol by the patient, together with a clear understanding and knowledge of the postoperative care required by the orthopaedic nurses.
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Orthopaedic nursing · May 2012
Effectiveness of multimodal pain management protocol in total knee arthroplasty patients.
Numerous methods for postoperative pain management after total knee arthroplasty (TKA) are reported. Multimodal pain management approaches, including peripheral nerve blocks and systemic analgesia, have been shown to decrease patient pain, increase patient satisfaction with pain control, decrease length of stay (LOS), and improve patient outcomes. ⋯ The multimodal pain approach improved patient outcomes in TKA patients.
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Postoperative pain after a total knee arthroplasty (TKA) is a major concern for the patient and nurse. Pain after a TKA can be severe and, when inadequately controlled, can impair or prevent functional rehabilitation with physiologic, psychologic, and economic consequences (). With multiple pain management regimens, healthcare providers need data on approaches that provide optimal postoperative pain relief with minimal side effects. ⋯ Patients who received all 3 anesthetic modalities (intrathecal morphine sulfate, single-shot femoral nerve block, and wound catheter) had better pain control postoperative TKA and requested less opioids.