Total Joint Replacement Therapy: Enhanced recovery after surgery (ERAS) protocols-Roles of Orthopedic Physicians and Nursing Interventions

Abstract

Background: Total Joint Replacement (TJR) surgeries are increasingly common procedures aimed at treating joint-related disorders, with enhanced recovery after surgery (ERAS) protocols playing a key role in improving patient outcomes. ERAS focuses on a holistic approach to perioperative care, addressing nutrition, pain management, and early mobilization.

Aim: This article aims to explore the role of ERAS protocols in total joint replacement surgeries, with a specific focus on the roles of orthopedic physicians and nursing interventions in improving recovery and reducing complications.

Methods: The review synthesizes existing evidence on the application of ERAS protocols in TJR surgeries, analyzing their impact on patient recovery, complications, and hospital stay.

Results: Implementation of ERAS protocols in TJR surgery has led to reduced transfusion and mortality rates, shorter hospital stays, and lower complication rates. However, it has not significantly affected 30-day readmission rates. Key components of ERAS include preoperative education, optimization of patient health, minimized opioid use, and early mobilization.

Conclusion: The successful implementation of ERAS protocols in TJR surgeries requires a coordinated effort between orthopedic physicians and nurses. Nurses, in particular, play a central role in preoperative education, postoperative care, and rehabilitation, which are crucial for enhancing recovery.