the literature, and many terms lack a definition. In addition to standard language, we advocate that a principal goal should be a standardized ERAS pathway for TJA based on the best available evidence, and including audit. We submit that this process is most effective when it occurs at the Society level with adoption of consensus guidelines, as has been the case for ERAS in other surgical subspecialties. n References 1. Sharrock NE, Cazan MG, Hargett MJ, Williams-Russo P, Wilson PD Jr: Changes in mortality after total hip and knee arthroplasty over a ten-year period. Anesth Analg 1995; 80(2):242-8. 2. Duncan CM, Hall Long K, Warner DO, Hebl JR: The economic implications of a multimodal analgesic regimen combined with minimally invasive orthopedic surgery: a comparative cost study. Reg Anesth Pain Med 2009; 34(4):301-7. 3. Duncan CM, Moeschler SM, Horlocker TT, Hanssen AD, Hebl JR: A self-paired comparison of perioperative outcomes before and after implementation of a clinical pathway in patients undergoing total knee arthroplasty. Reg Anesth Pain Med 2013; 38(6):533-8. 4. Hebl JR, Kopp SL, Ali MH, Horlocker TT, Dilger JA, Lennon RL, Williams BA, Hanssen AD, Pagnano MW: A comprehensive anesthesia protocol that emphasized peripheral nerve blockade for total knee and total hip arthroplasty. J Bone Joint Surg Am 2005; 87 Suppl 2:63-71. 5. Hebl JR, Dilger JA, Byer DE, Kopp SL, Stevens SR, Pagnano MW, Hanssen AD, Horlocker TT: A pre-emptive multimodal pathway featuring peripheral nerve block improves perioperative outcomes after major orthopedic surgery. Reg Anaesth Pain Med 2008; 33(6):510-517. 6. Sutton JC, Antoniou J, Epure LM, Huk OL, Zukor DJ, Bergeron S: Hospital Discharge within 2 Days Following Total Hip or Knee Arthroplasty Does Not Increase MajorComplication and Readmission Rates. J Bone and Joint Surg Am 2016;98;1419-28. 7. Ayalon O, Liu S, Flics S, Cahill J, Juliano K, Cornell CN: A multimodal clinical pathway can reduce length of stay after total knee arthroplasty. HSS J 2011; 7(1):9-15. Learn more about Pacira & ASER’s Partnership Campaign to Combat the Opiod Epidemic, on page 15 8. Gulotta LV, Padgett DE, Sculco TP, Urban M, Lyman S, Nestor BJ: Fast track THR: One hospital’s experience with a 2-day length of stay protocol for total hip replacement. HSS J 2011; 7(3):223-8. 9. Duggal S, Flics S, Cornell CN: Intra-articular analgesia and discharge to home enhance recovery following total knee replacement. HSS J 2015; 11(1):56-64. 10. Maempel J, Clement N, Ballantyne J, Dunstsan E: Enhanced Recovery Programmes After Total Hip Arthroplasty can Result in Reduced Length of Hospital Stay Without Compromising Functional Outcome Bone Joint J 2016; 98-B:475-482. 11. Maempel J, Walmsley P: Enhanced Recovery Programmes Can Reduce Length of Stay After Total Knee Replacement Without Sacrificing Functional Outcome at One Year. Ann R Coll Surg Engl 2015; 97:563-567. 12. Soffin EM, YaDeau JT: Enhanced recovery after surgery for primary hip and knee arthroplasty: A review of the evidence. BJA 2016; in press. 13. McDonald S, Page MJ, Beringer K, Wasiak J, Sprowson A: Preoperative education for hip or knee replacement. Cochrane Database Syst Rev 2014; 13(5). 14. Aasvang E, Luna I, Kehlet H: Challenges in postdicharge function and recovery: the case of fast-track hip and knee arthroplasty. Br J Anaesth.2015; 115(6): 861-6. 15. Holt J, Miller B, Callaghan J, Clark C, Willenborg M, Noiseux N: Minimizing Blood Transfusion in Total Hip and Knee Arthroplasty Through a Multimodal Approach. J Arthroplasty 2016; 31: 378-382. 16. Kopandis P, Hardidge A, McNicol L, Tay S, McCall P, Weinberg L: Perioperative Blood Management Programme Reduces the Use of Allogenic Blood Transfusion in Patients Undergoing Total Hip and Knee Arthroplasty. J Orthop Surg Res 2016; 11:28. 17. Lunn T, Kirstensen B, Andersen L, Husted H, Otte KS, Gaarn-Larsen L, Kehlet H: Effect of high-dose preoperative methylprednisolone on pain recovery after total knee arthroplasty: a randomized, placebo-controlled trial. Br J Anaesth 2011; 106(2):230238. 18. Lunn T, Andersen L, Kirstensen B, Husted H, Otte KS, Gaarn-Larsen L, Bandholm T, Ladelund S, Kehlet H: Effect of high-dose preoperative methylprednisone on recovery after total hip arthroplasty: a randomized, placebo-controlled trial. Br J Anaesth 2012; 110(1):66-73. Used in more than 2 MILLION PATIENTS since 2012 Pacira Pharmaceuticals, Inc. is pleased to support the American Society for Enhanced Recovery Reference: Data on fi le. Parsippany, NJ: Pacira Pharmaceuticals, Inc.; May 2016. For full Prescribing Information, please visit www.EXPAREL.com or call 1-855-RX-EXPAREL (793-9727). ©2016 Pacira Pharmaceuticals, Inc., Parsippany, NJ 07054 PP-EX-US-2048 10/16 8 ASER ALERT • VOLUME 1, ISSUE 1 • aserhq.org
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