Same Day Surgery Arthroplasty

Description

In this detailed discussion hosted by Derek Cuff, a practicing surgeon from Sarasota, Florida, the focus is on same-day shoulder arthroplasty. Joined by a panel of experienced medical professionals, they delve into various aspects of this surgical procedure that has gained traction due to surgeon-led initiatives and external influences, such as government guidelines and the recent COVID-19 pandemic. Throughout the session, they address three primary objectives: the evolution of same-day shoulder arthroplasty, effective patient selection criteria, and the management of patients through the pre-operative, operative, and post-operative phases.



Cuff emphasizes the transition from an inpatient model to an outpatient approach, particularly highlighting a significant increase in same-day discharges—from 10% to 83% within three years—without a corresponding rise in complications. Panelists discuss the importance of thorough patient assessment and selection, with a specific focus on medical history, social support structures, and understanding patient fears regarding hospitalization. They explore adaptable anesthesia strategies, pain management techniques, and the role of communication in enhancing patient comfort and recovery outcomes following surgery.



The conversation also acknowledges caution in patient selection, particularly those with complex medical histories, and underscores the necessity of coordinated care pathways that facilitate continuous patient engagement throughout their recovery. Overall, the discourse leads to a consensus that with appropriate strategies and careful monitoring, shoulder arthroplasty can be safely performed on an outpatient basis, reflecting a paradigm shift in orthopedic surgical practices.

Specialties