By Catherine Reilly.
The regional centre for orthopaedics in the Midlands, Tullamore Hospital, is the first facility in the country to commence a multidisciplinary rapid/enhanced recovery programme for hip and knee arthroplasty patients, Irish Medical Times reports.
The programme incorporates a pre-operative educational joint school. More than 80 health professionals have attended a masterclass run by the hospital on rapid and enhanced recovery in hip and knee arthroplasty patients.
The protocol involves: pre-operative medical assessment; the pre-operative educational joint school; admitting patients on the day of surgery; the minimally-invasive surgery approach to hip replacements, including local infiltration analgesia; anaesthetic involvement, both pre-operatively in assessment and from a post-operative perspective; rapid physiotherapy; occupational therapy; and co-ordinated nursing support.
In addition, a surgical site infection surveillance study overseen by Tullamore’s Microbiology Department is providing a study on the prevalence of infection following this type of surgery.
Holistic care planning and a teamwork ethos, which engages the patient to take an active role before and after surgery, is pivotal to the success of the programme.