Sep 10, 2022
Version 2
Criteria for performing total knee arthroplasty without postoperative intensive care monitoring V.2
- Fabricio Loures1,
- João Henrique Reis1,
- Marcelo de Oliveira Campos1,
- Guilherme Morgado Runco1,
- Luísa Doim Vieira Fonseca1,
- Luciana Ferreira Xavier1,
- Nelson Hiroyuki Miyabe Ooka1,
- Liszt Palmeira de Oliveira1
- 1Universidade do Estado do Rio de Janeiro (UERJ)
Protocol Citation: Fabricio Loures, João Henrique Reis, Marcelo de Oliveira Campos, Guilherme Morgado Runco, Luísa Doim Vieira Fonseca, Luciana Ferreira Xavier, Nelson Hiroyuki Miyabe Ooka, Liszt Palmeira de Oliveira 2022. Criteria for performing total knee arthroplasty without postoperative intensive care monitoring. protocols.io https://dx.doi.org/10.17504/protocols.io.bp2l6b325gqe/v2Version created by Fabricio Loures
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: September 09, 2022
Last Modified: September 10, 2022
Protocol Integer ID: 69779
Keywords: total knee arthoplasty, intensive care monitoring, risk stratification
Abstract
After reviewing the medical literature, we defined objective criteria to indicate intensive care monitoring after total knee arthroplasty. These criteria were adopted in January 2020 and since then none of the 80 patients who underwent total knee arthroplasty at the Pedro Ernesto University Hospital and who met the criteria required intensive care monitoring.
Attachments
Guidelines
To perform total knee arthroplasty without postoperative intensive care monitoring, it is necessary for the patient to fulfill the eight criteria defined below:
Less than 75 years old
American Society Anesthesiology (ASA) Classification I or II
Non-smoker
No history of ischemic disease (Acute Myocardial Infarction and/or Cerebrovascular disease)
Primary Arthroplasty (CR or PS)
Body Mass Index (BMI) less than 35 kg/m²
Creatinine clearance higher than 60 ml/min
Hemoglobin greater than 12g/dL
Safety warnings
We have defined these criteria based on medical literature and we are validating this protocol by observing the outcome.
Before start
We have defined these criteria based on medical literature and we are validating this protocol by observing the outcome.