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Table 1 Peri-operative and post-operative protocols for the historical and intervention periods

From: Implementing early mobilisation after knee or hip arthroplasty to reduce length of stay: a quality improvement study with embedded qualitative component

 

Before cohort

After cohort

Spinal anaesthetic

Preferred approach

Preferred approach

Adductor canal block

Standard protocol unless contraindicated in TKA

Standard protocol unless contraindicated in TKA

Tranexamic Acid (intravenous)

Standard protocol unless contraindications

Standard protocol unless contraindications

Patient controlled anaesthesia

Optional

Optional

Multi-modal analgesia

Standard protocol

Standard protocol

In-dwelling catheter

Standard protocol

Standard protocol

Use of tourniquet (TKA only)

Standard protocol

Standard protocol

Medial parapatellar approach (TKA)

Standard

Standard

Posterolateral approach (THA)

Standard

Standard

Mobilisation Day 0

Not performed

Routine attempt

Mobilisation Day 1

Once

Twice

Mobilisation Day 2

Once

Twice

  1. Legend: TKA total knee arthroplasty, THA total hip arthroplasty