Publications by authors named "Smitha S Vellanky"

Article Synopsis
  • Spinal anesthesia for total hip arthroplasty (THA) is becoming more popular due to fewer complications, but the choice of local anesthetic can affect recovery time.
  • Bupivacaine is commonly used but has a long-acting effect, while ropivacaine may be a better option because of its shorter duration.
  • A study involving 503 patients found that those receiving ropivacaine had better ambulation times, quicker transitions from the post-anesthesia care unit, and similar complication rates compared to those receiving bupivacaine, making ropivacaine preferable for faster recovery.
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Background: Disruptions in sleep and pain are frequent complaints following total knee arthroplasty (TKA). Perioperative sleep disturbances may lead to decreased pain tolerance as well as other consequences. The purpose of this study is to evaluate the effectiveness of self-guided meditation for improving sleep quality following TKA.

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Background: Early ambulation of patients with total joint replacement (TJR) has been shown to improve outcomes while reducing length of stay and postoperative complications. Limited physical therapy (PT) resources and late-in-the-day cases may challenge day-of-surgery (POD0) ambulation. At our institution, a Mobility Technician (MT) program, composed of specially trained nurse's aides, was developed to address this issue.

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