Outpatient Surgery Magazine

Work-Life Balance - January 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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9 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J a n u a r y 2 0 1 7 T he seis- mic shift toward same-day total knee replacements is clearly linked to improvements in pain management tech- niques. Opioids are no longer the first defense, as facilities that perform total knees increasingly turn to mul- timodal regimens that subordinate, or even eliminate, the need for prescription pain pills. One result is that outpatient total knees are no longer on the fringe. Nearly one-fourth (24.6%) of our 180 survey respondents discharge total knee patients on the same day, vs. only 8.5% who say that was the case 3 years ago. We'll likely see a sharp spike in volume if, as expected, Medicare starts helping to pay for knee replacements out- side the hospital. But as our survey further suggests, there's no clear consensus on how best to manage pain. Our survey does, however, reflect 2 areas of Our survey finds that blocks and NSAIDs are the most promi- nent of many tools. Jim Burger Senior Editor How You're Managing the Pain of Total Knees • BUSINESS BOOM Improvements in pain management techniques have made total knee replacements one of surgery's biggest potential growth markets.

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