Nathan Jové, M.D. at Atlanta Bone & Joint Specialists is now performing outpatient total joint replacement with same day discharge for those patients posed for success. This type of outpatient surgery discharge depends on several variables. Patients should be mentally, physically and environmentally prepared for surgery in order to qualify for same day discharge.
“The best patients, eligible for same day discharge, are those with few co-morbidities, who are active and have supporting family and friends to be able to care for them for the first few days after surgery. Managing expectations is absolutely imperative.” said Dr. Jove.
While some of these patients are younger and more motivated to do well from home, older patients have seen excellent results. Being prepared for same day discharge means doing as much as you can before the procedure to set yourself up for a fester and easier recovery. The patients will be in physical therapy post operative day one. The patients also will be discharged on aspirin and DVT prophylactic pumps, which is now a standard of care accepted by the American Academy of Orthopaedic Surgeons.
Dr. Jové uses a medication prior to surgery to help reduce bleeding, tourniquetless surgery to prevent thigh pain, and a pain injection made of multiple medications that significantly decreases pain post-operatively. Dekalb Medical uses a long acting medication, Exparel, to aid with post-operative pain and it has had excellent success for the outpatient total joint replacement patients. Patients typically also get a spinal anesthetic, which reduces post-operative grogginess and nausea, which can severely limit progress on the day of surgery.
“While same day discharge is an excellent option for those patients who are appropriate candidates, we will not discharge anyone who is not ready or if it isn’t safe to do so. Our coordinated effort with all involved parties will ensure a safe and successful outcome,” said Matt Glogowski, Joint Care Program Manager.
Although outpatient surgery is more hands-off than inpatient, the care team will check-in via telephone with a patient and a physical therapist will see them in the outpatient setting the next day. Patients also receive extensive post-op education and tools to monitor and propel their own recovery.
While the Joint Solutions Center has a high patient satisfaction rate, a shorter hospital stay may equal even greater patient satisfaction.
Learn more about outpatient total joints at www.atlantaboneandjoint.com/outpatientjointreplacement