Younger morbidly obese patient approx 2 weeks out from Outpatient opioid free knee replacement with a high risk infection mitigation protocol. in higher risk patients can we deploy solutions to reduce infection risk (and other complications), preserve the ability to say yes for surgery, while properly managing resources? This patient is able to rise and sit from a chair (good strength/pain control) and ambulate without much discomfort. the patient only needed Tylenol and anti inflammatory meds after surgery (no narcotics). By using an ecosystem of solutions + teamwork we can achieve enhanced results to allow patients a better recovery. There’s nothing magical about the surgical technique. All the tools are currently available for any surgeon/hospital. However, this isn’t that common. Why is this not more common? We need incentives for hospitals and physicians to change. Currently, employers, government, and others don’t really differentiate between someone who gets 100 opioids or 1. They don’t differentiate between someone who returns to work in 2 weeks or 2 months. A whole host of other practical quality and value metrics that are not yet valued which can drive change
Great insights doctor Vinod! #PatientSafety is vital for a good recover.
What solutions do you usually use on higher risk patients to reduce infection?
Hi Dr. Dasa, Great Post and I would agree. Curious if you utilize incisional negative pressure as an additional infection prevention solution on higher risk patients, or what other solutions you deploy?
The lack of common use for these methods points to a broader issue: the need for systemic change in healthcare incentives. Integrating new tech solutions could track and reward outcomes more effectively and encourage adoption of efficient, patient-centered care strategies
amazing advancements
Innovative approach to post-op care! Collaboration and new incentives can drive much-needed change in healthcare.
Wow! Look at her go! Great work!
Awesome stuff!! Thanks for sharing!!
Great post, Dr. Dasa.
Opioid-sparing joint replacement surgeon with an interest in personalized arthroplasty and treating each patient as an individual, not a number - I strive to give as many patients as possible empathy and time
9moIf their commercial or public insurance doesn’t cover cryoneurolysis do you have a way for them to cash pay at your institution?