Perioperative Management in Shoulder Arthroplasty: A Review of Current Practice.

Orthop Clin North Am

Department of Orthopaedic Surgery, Duke University Medical Center, 311 Trent Drive, Suite 2214, Box 104002, Durham, NC 27710, USA.

Published: October 2022

AI Article Synopsis

  • Perioperative management for shoulder arthroplasty has improved to minimize complications and enhance patient outcomes through better patient selection and education.
  • New multimodal pain management techniques, including advanced regional and local anesthetics, have contributed to improved care for patients.
  • The use of synthetic antifibrinolytic agents has helped reduce complications related to blood loss and transfusions, emphasizing the importance of optimizing patient care during the perioperative phase.

Article Abstract

Perioperative management for patients undergoing shoulder arthroplasty has evolved significantly over the years to reduce overt complications and improve patient outcomes. The groundwork for perioperative care encompasses initial patient selection and education strategies for achieving successful outcome. Multimodal pain management strategies have advanced patient care with the increased use of new regional/local anesthetics. In addition, complications resulting from blood loss and transfusions have been curtailed with the use of synthetic antifibrinolytic agents. It remains critical for shoulder arthroplasty surgeons to optimize patients during the perioperative period through various modalities to maximize functional progression, outcomes, and patient's satisfaction following shoulder arthroplasty.

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Source
http://dx.doi.org/10.1016/j.ocl.2022.05.003DOI Listing

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