Outpatient shoulder surgery: a prospective analysis of a perioperative protocol

• Published in: Clinical orthopaedics and related research no. 390; p. 138
• Main Authors: Lewis, R A, Buss, D D
• Format: Journal Article
• Language: English
• Published: United States 01.09.2001
• Subjects: Ambulatory Surgical Procedures; Clinical Protocols; Female; Follow-Up Studies; Humans; Male; Prospective Studies; Shoulder Joint - surgery; Surveys and Questionnaires
• ISSN: 0009-921X
• DOI: 10.1097/00003086-200109000-00016

During a 10-month period, 106 consecutive outpatient shoulder procedures were done in 102 patients who were followed up prospectively for a minimum of 6 months. The procedures included arthroscopic surgery alone (60%) and open surgeries with or without associated arthroscopy (40%). The anesthetic protocol included propofol and nitrous oxide, without scalene block augmentation, and local 0.5% bupivacaine. Patients were discharged with oral analgesics. Ninety-five percent of the patients successfully underwent their procedure as an outpatient; only 5% required admission on the day of surgery, and none required readmission. There were no short- or long-term postoperative complications attributable to the protocol. Ninety-six percent of the patients were satisfied with their pain management, and all patients were satisfied with their overall experience.