Within the past five years, outpatient total joint arthroplasties have increased three-fold due to the change in insurance companies’ reimbursement plans. After continuous literature research collection, support for spinal anesthesia was higher than compared to general anesthesia (GA) for outpatient total joint arthroplasty procedures. Healthy patient who receives regional anesthesia showed decreased post-operative pain, increased rehabilitation, and, most of all, a decrease in facility stays (Macfarlane et al., 2009). This has allowed healthy patients who meet physician, anesthesia, and facility requirements to transition from hospitals to ambulatory surgery centers for total joint replacement procedures. With this new transition comes change for anesthesia guidelines to provide better patient outcomes for these specific patients. This evidence can allow facilities to transition this information into clinical practice to implement a policy change as well as a practice change for a new anesthesia guideline.
Thus, it is recommended that a regional anesthesia guideline implementation program for outpatient arthroplasty procedures be implemented in the ambulatory surgery center. This will occur over five steps such as the following: a 6-week trial with data collection; data collection and interpretation of data that is placed into a report; stakeholder presentation to secure buy-in from leadership, surgeons, and anesthesiologists; policy change and implementation of new guideline; dissemination of new guideline through educational in-services, classes, and skill check-off for anesthesiologists, staff, and surgeons. Lastly, the evaluation plan will be based on measured outcomes, interviews with staff and physicians, and patient satisfaction ratings
Date of publication
MSN Capstone Project
Master of Nursing
Caesar, Laci, "Regional Anesthesia in Outpatient Total Joint Arthroplasty" (2022). MSN Capstone Projects. Paper 217.