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Table 1 Summary scheme of fast track vs. standard care interventions

From: Comparison of a fast track protocol and standard care after hip arthroplasty in the reduction of the length of stay and the early weight-bearing resumption: study protocol for a randomized controlled trial

Operative stage

Fast track

Standard care

Preoperative

Comprehensive patient education

 - 1-h lesson

 - Multimedia material (images, animation, and video)

 - Patient personal summary booklet

Standard patient education

 - 15-min lesson

Intraoperative

 - Minimally invasive surgery

 - Subarachnoid anesthesia

 - Tranexamic acid

 - Minimally invasive surgery

 - Subarachnoid anesthesia

 - Tranexamic acid

Pain management

2 h before surgery:

 - 1 tablet of 1000 mg paracetamol

 - 1 tablet of 600 mg gabapentin

 - 1 tablet of 200 mg celecoxib

 

4 h after surgery:

 - 1 tablet of 1000 mg paracetamol

 - 1 tablet of 300 mg gabapentin

Before sleeping:

 - 1 tablet of 10 mg oxycodone or 1 tablet of 100 mg tapentadol

The first postoperative day:

 - 1 tablet of 1000 mg paracetamol every 6 h

 - 1 tablet of 30 mg celecoxib at 8.00 a.m.

 - 1 tablet of 300 mg gabapentin at 9.00 a.m.

From the second postoperative day up to a maximum of 15 days:

 - 1 tablet of 1000 mg paracetamol every 12 h

 - 1 tablet of 200 mg celecoxib at 8.00 a.m.

Every 8 h after surgery

 - 30 mg ketorolac and 100 mg tramadol in 100 mL of physiologic saline solution

Severe pain management

 - 1 tablet of oxycodone hydrochloride (5 or 10 mg) is administered every 12 h

(Rescue dose):

 - 1 tablet of 500 mg paracetamol

 - 1 tablet of 30 mg codeine phosphate (this dose should be repeated after 12 h)

(Rescue dose):

 - Intravenous 1000 mg paracetamol every 8 h

Rehabilitation

Intensive rehabilitation protocol

Day 0 (t1):

 - In the morning: surgical operation

Day 0 (t1), in the afternoon:

 - Resuming verticalization

 - Walking with the help of physiotherapists and a front-wheel walker

Standard rehabilitation protocol

Day 0 (t1):

 - In the morning: surgical operation

Day 1 (t2):

 - Mobilization in bed

 - Attempt to use crutches

 - Stair climbing with crutches (if tolerated)

 - Physiotherapy is performed two times a day

Day 1 (t2), in the morning:

 - Mobilization in bed

Day 1 (t2), in the afternoon:

 - Resuming the vertical position

 - Walking with the help of physiotherapists and a front-wheel walker

Day 2 (t3):

 - Verification and control of functional acquisitions of the patient

 - Weaning from a crutch

 - Physiotherapy twice daily

Day 2 (t3):

 - Physiotherapy is performed twice a day using first the walker then the crutches

Day 3 (t4):

 - Weight-bearing gradual resumption

 - Patient discharge

Days 3, 4 (t4, t5):

 - Stair climbing with crutches

 - Weaning from a crutch

 

Days 5–7 (t6):

 - Weight-bearing gradual resumption

 - Patient discharge