Expert consensus on perioperative management of day surgery for hip and knee arthroplasty in China
Day Surgery, also known as Ambulatory surgery, refers to surgical procedures in which patients are admitted and discharged within 24 hours. In special cases where hospitalization is required, the stay should not exceed 48 hours. The implementation of day surgery offers several advantages, including shorter hospital stays, reduced treatment costs, improved treatment quality, enhanced patient satisfaction, and more efficient allocation of medical resources by hospitals. With the development of surgical techniques, anesthetic technique, and Enhanced Recovery After Surgery (ERAS) protocols, China is now equipped to perform hip and knee joint arthroplasty as day surgeries. This consensus has been formed by reviewing the literature, summarizing successful experiences, following evidence-based medicine principles, and undergoing extensive discussions, editing, and organization by national experts. It is intended to serve as a reference for orthopedic surgeons in their clinical practice. This consensus comprises four main sections: the day surgery implementation model, team building, outpatient screening, perioperative management, post-discharge follow-up, and day surgery quality assessment.
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