2021 AANA/ASES Specialty Session-Key Lessons for Transition to Outpatient Shoulder Arthroplasty

Key Lessons for Transition to Outpatient Shoulder Arthroplasty

Video Transcription

Video Summary

Pat Denard discusses outpatient total shoulder arthroplasty, achieving over 90% same-day discharges by focusing on patient selection, minimizing operative time, and comprehensive patient and staff education. Key strategies include multimodal pain management to reduce opioid use, proactive measures against nausea and constipation, and the use of TXA for bleeding control. COVID accelerated the shift to outpatient care, with telehealth and app-based monitoring enhancing patient engagement and reducing clinic calls. Denard emphasizes detailed preoperative preparation and communication, demonstrating that outpatient shoulder arthroplasty is safe, cost-effective, and increasingly feasible for most patients.

Asset Caption

Patrick J. Denard, M.D.

Keywords

outpatient total shoulder arthroplasty

same-day discharge

multimodal pain management

telehealth monitoring

preoperative patient education