Enhanced Recovery in Total Knee and Hip Arthroplasty: the Need for National Recommendations

Abstract

There are significant medical, social and economic effects, such as decrease in the frequency of postoperative complications, mortality and reduction of hospital stay. The key aspects of the enhanced recovery program are preoperative preparation, anesthesia, postoperative analgesia, in particular multimodal analgesia and regional analgesia, and early rehabilitation. The implementation of the enhanced recovery program for knee and hip replacement in medical institutions of the Russian Federation based on clinical studies and meta-analyses of a high level of evidence, will improve the quality of medical care and patient satisfaction. It is important to note the need to develop the Russian recommendations taking into account experience of using various methods of enhanced recovery in domestic medical institutions, as well as the specific organization features of the Russian healthcare system. This will serve as a basis for further widespread implementation of protocols for enhanced recovery after surgery in this country.

Keywords

• эндопротезирование коленного сустава
• эндопротезирование тазобедренного сустава
• ускоренное восстановление после операции
• фаст трак
• послеоперационное обезболивание
• регионарная анальгезия
• мультимодальное обезболивание
• ранняя реабилитация