Effects of Neuraxial anesthesia on readiness for ambulation following total knee arthroplasty
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Dr. James T. Papesca, DNP, MSN, CRNA, APRN
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- Pi Epsilon at-Large
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Abstract
Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. An aging population with multiple health conditions coupled with value-based care initiatives focusing on the trend toward outpatient care and patient satisfaction, has prompted healthcare providers to develop and implement an anesthetic approach to enhance TKA outcomes. The American Association of Hip and Knee Surgeons acknowledges the movement toward outpatient TKAs emphasizing minimal complications and maximizing patient safety. A review of current literature identifies causative factors delaying hospital discharge following TKA ranging from postoperative pain to delayed postoperative mobility. Despite the need for outpatient care, there are no anesthetic guidelines for improved TKA outcomes; specifically, the timeframe associated with the onset of anesthesia to patient mobility. The purpose of this study was to identify correlational relationships between the type of neuraxial anesthetic approach, dosage of neuraxial anesthetic administered, and the patient’s readiness for postoperative ambulation as determined by the neuro-motor assessments by the staff nurses. Keywords: total knee replacement, neuraxial anesthesia, postoperative mobility, outpatient, medication dose.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28031167; ProQuest document ID: 2437393280. The author still retains copyright.
Repository Posting Date
2021-08-20T12:42:06Z
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This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Cohort |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Medication Dose; Neuraxial Anesthesia; Postoperative Mobility; Total Knee Replacement |
Degree Information
Grantor | Regis College |
Advisor | Hamilton, Nora; Reynolds, Robert Martin; Lindsay, Judith |
Level | DNP |
Year | 2020 |
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