3. Intraoperative management

With the revolutionary advances in the surgical and anesthetic fields, many surgical procedures are now routinely performed on outpatient basis. Currently, with the combination of multiple strategies that target at minimizing surgical stress, many orthopedic surgeons are now applying the concepts of fast track program to their clinical practice. Fast track knee arthroplasty or even outpatient joint arthroplasty is increasingly performed. To reach the goal of fast track, there are 5 major strategies to be aware of: anesthesia approach, duration of the surgical procedure, minimally invasive surgical approach, blood management, and the maintenance of normothermia.
