Enhanced Recovery Programme for Total Hip and Total Knee Replacement v4


download Enhanced Recovery Programme for Total Hip and Total Knee Replacement v4


To enhance the recovery of patients having primary hip and knee replacements by a multimodal programme which facilitates early mobility and discharge.
Approximately 600 hip and 600 knee arthroplasties are performed at NNUH each year.  Currently our average length of stay is 8 days.  Other centres1 in the UK and abroad have introduced enhanced recovery programmes. These focus on the provision of safe effective analgesia with minimal side-effects which then enable early mobility. Centres adopting the enhanced recovery programme have reduced their length of stay significantly.

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Clinical Guidelines
This guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.