Clinical Case Database / Category: Case Based Discussion

Enhanced recovery after orthopaedic surgery

Publication details

Dr Som Sarkar MB, ChB, MAcad, MEd, FRCA, EDIC, FFICM, Mr Shivan Jassim MSc, MBBS, MRCS, Dr David Hewson BSc, PGCertEd, FHEA, MBBS, MRCS, FRCA
Foundation Years Journal, volume 9, issue 9, p.15 (123Doc Education, London, October 2015)


A 77 year-old man presents for elective major joint surgery. He has concerns that major surgery will not be feasible due to the disruption it will cause to his caring responsibilities for his wife, who suffers from severe dementia. His perioperative pathway is described and the principles of enhanced recovery after orthopaedic surgery are explained. These give him the best chance to return to optimal function as soon as practicable within current perioperative practice.

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Dr Som Sarkar MB, ChB, MAcad, MEd, FRCA, EDIC, FFICM

Consultant in Anaesthesia and Intensive Care Medicine
Kings Mill Hospital, Mansfield Road
Sutton-in-Ashfield, NG17 4JL

Mr Shivan Jassim MSc, MBBS, MRCS

ST5 Trauma and Orthopaedics Registrar
Watford General Hospital
Vicarage Road
Watford, WD18 0HB

Dr David Hewson BSc, PGCertEd, FHEA, MBBS, MRCS, FRCA (Corresponding author)

ST5 Anaesthetic Registrar
Queens Medical Centre
Derby Road, Nottingham, NG7 2UH


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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