El HUC aplica el “fast track” para prótesis de cadera mejorando la rehabilitación del paciente

La enfermera Concepción Izquierdo, el traumatólogo José Luis Pais y el fisioterapeuta Pablo Marrero.

Ochenta pacientes se han beneficiado de este programa de recuperación rápida que incluye un Aula de Pacientes.

De forma previa a la cirugía, estos reciben información a través de clases dirigidas por un fisioterapeuta, una enfermera y un traumatólogo.

El centro hospitalario ha empezado a desarrollar este mismo programa para prótesis de rodilla.

El servicio de Traumatología y Cirugía Ortopédica del Complejo Hospitalario Universitario de Canarias (HUC), adscrito a la Consejería de Sanidad del Gobierno de Canarias, aplica desde hace un año el protocolo “fast track” en pacientes con artroplastia de cadera que precisa de intervención quirúrgica. Este programa, que se aplicó de forma pionera en las Islas, ha permitido  una recuperación funcional de los ochenta pacientes intervenidos mucho más rápida, fundamentalmente por su participación activa en la misma. Además este programa reduce la estancia hospitalaria, disminuye la necesidad de transfusiones y aumenta la satisfacción del paciente y de los profesionales.

La estancia del paciente en el hospital se ha reducido de siete a cuatro días, lo que supone mayor confort para el paciente y una mayor disponibilidad de camas para otros que necesitan ser ingresados, lo que permite optimizar los recursos de esta especialidad.

Esto ha sido posible, en parte, gracias a la creación de un Aula de Pacientes donde, de forma previa a su cirugía, éstos reciben información a través de clases dirigidas por un fisioterapeuta, una enfermera y un traumatólogo.

El objetivo de esta formación es que los pacientes, que pueden venir acompañados por un familiar, superen los miedos iniciales. Los profesionales explican en qué consiste la cirugía  y se enseña una tabla de ejercicios para alcanzar un mejor tono muscular y mayor destreza dos semanas antes de someterse a la cirugía de cadera.

En este sentido, y en palabras de uno de los pacientes intervenidos a este tipo de cirugía, gracias a esta preparación previa, se reducen los niveles de ansiedad y miedos antes de la cirugía, “la operación se ve sin tanto miedo”. De esta manera, el paciente participa en el proceso desde el primer minuto, algo que también se hace extensible a la familia, de cara a conseguir una mejor y más pronta recuperación del paciente.

“Con un paciente motivado la evolución es mucho más rápida y la estancia hospitalaria se reduce a la mitad: en dos o tres días pueden volver a casa de forma autónoma, con muletas o incluso sin ellas, pero caminando solos, en perfectas condiciones y sin dolor”, indica el doctor José Luis Pais Brito, jefe del Servicio de Traumatología y Cirugía Ortopédica del centro hospitalario.

El centro hospitalario ha empezado a desarrollar este mismo programa para prótesis de rodilla.


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