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Threats to Same Day Discharge: Prevention and Management

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Outpatient Hip and Knee Replacement

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Abstract

Total joint arthroplasty (TJA) has safely transitioned from an inpatient-only procedure to an outpatient procedure in properly selected patients. The key to a successful outpatient TJA program is appropriate patient selection, preoperative optimization, and patient education. An overwhelming majority of these outpatient TJA patients do well and are able to go home on the day of surgery. However, some patients have complications after surgery that threaten their discharge home, such as dizziness or hypotension, failure to clear physical therapy, urinary retention, and pain management. In this chapter, we review the most common threats to discharge in outpatient TJA and provide practical clinical advice on how to manage these complications.

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Authors and Affiliations

  1. Adult Reconstruction Division, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Charles P. Hannon & Craig J. Della Valle

  2. Department of Anesthesiology, Rush University Medical Center, Chicago, IL, USA

    Parag D. Patel

  3. Rush Oakbrook Surgery Center, Oak Brook, IL, USA

    Parag D. Patel

Authors
  1. Charles P. Hannon
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  2. Parag D. Patel
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  3. Craig J. Della Valle
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Corresponding author

Correspondence to Craig J. Della Valle .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Indiana University School of Medicine, Indiana Joint Replacement Institute, Indianapolis, IN, USA

    R. Michael Meneghini

  2. Department of Orthopedic Surgery, Indiana University Health, Fishers, IN, USA

    Leonard T. Buller

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Hannon, C.P., Patel, P.D., Della Valle, C.J. (2023). Threats to Same Day Discharge: Prevention and Management. In: Meneghini, R.M., Buller, L.T. (eds) Outpatient Hip and Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-031-27037-6_8

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  • DOI: https://doi.org/10.1007/978-3-031-27037-6_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27036-9

  • Online ISBN: 978-3-031-27037-6

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