Preoperative Oral Hydration in the Ambulatory Arthroplasty Population :A Single-Blinded Randomized Control Trial
Hospital for Special Surgery, New York
Summary
The purpose of this study is to investigate if the consumption of a complex carbohydrate drink preoperatively, decreases the length of stay and causes for failure to launch in patients undergoing ambulatory total joint arthroplasty.
Description
The way total joint arthroplasty is practiced continues to evolve as CMS removed total hip arthroplasty (THA) from the inpatient-only list and added total knee arthroplasty (TKA) to the ASC Covered Surgical Procedures List (CPL) in 2020. Thus, surgeons must find subtle interventions that improve patient outcomes while minimizing the risk of adverse reactions. Current literature has not assessed the influence of preoperative hydration, using a complex carbohydrate drink, on the same-day discharge rate and causes for failure to launch. Considering variabilities in perioperative fluid management…
Eligibility
- Age range
- 18–75 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Candidates for ambulatory total knee arthroplasty * Candidates for ambulatory total hip arthroplasty * Candidates for ambulatory revision knee arthroplasty (liner exchange only) * Candidates for ambulatory revision hip arthroplasty (liner exchange only) * Case scheduled before noon (12 pm) * Patient agrees to same-day discharge and has a responsible adult to spend the night on the day of discharge Exclusion Criteria: * BMI less than 18.5 or greater than 37.0 * Patients with diabetes, chronic kidney disease, clotting disorders, or neurological conditions preventing cont…
Interventions
- Dietary SupplementComplex Carbohydrate Drink
Patients will drink a complex carbohydrate drink 3 hours before surgery. Drink to be given at the preoperative holding area.
Location
- Hospital for Special SurgeryNew York, New York