Consulting Solutions TOTAL pathway

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Improved surgical result



Goal: Up to 35% reduction in mistakes [1]

TOTAL pathway offers anesthesia solutions with the main focus on patient safety and satisfaction.
Customized anesthesia kits reduce application time, establish reproducible standards and lead to quantifiable improvement in procedure quality.

Early Mobilization

Early Mobilization

Goal: Reduced length of stay [2], [3]

Smart pain therapy and customized anesthesia and analgesia kits, as well as a patient engagement program reduce patient instay. Early mobilization improves the progression in rehabilitation and leads to an earlier discharge fitness of the patient.

Infection Prevention

Infection Prevention

Goal: 24h antimicrobial barrier effect [4], [5]

In addition to the negative impact of infections associated with joint replacements on patients, the financial burden on the health care system is severe. Therefore, a standardized infection prophylaxis for MRSA-decolonization in the weeks before surgery is highly recommended. [6]
Our product for decolonization is Prontoderm.

[1] Fenik Y, Celebi N, Wagner R, Nikendei C, Lund F, Zipfel S, Riessen R, Weyrich P. Prepackaged central line kits reduce procedural mistakes during central line insertion: a randomized controlled prospective trial. BMC Med Educ. 2013 Apr 30;13:60.
[2] Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop. 2008 Apr;79(2):168-73.
[3] McDonald DA, Siegmeth R, Deakin AH, Kinninmonth AW, Scott NB. An enhanced recovery programme for primary total knee arthroplasty in the United Kingdom – follow up at one year. Knee. 2012 Oct;19(5):525-9.
[4] B. Braun Medical AG. Prontoderm. Scientific and Clinical Evidence. Sempach 2015. [Internet, 14.09.2016]. 
[5] Brill F, Arndt A. Bescheinigung bezüglich Remanenzwirkung (Keimbarriere) von Prontoderm. B. Braun Medical AG, Sempach 2010. [Internet, 14.09.2016].
[6] Weiser MC, Moucha CS. The Current State of Screening and Decolonization for the Prevention of Staphylococcus aureus Surgical Site Infection After Total Hip and Knee Arthroplasty. J Bone Joint Surg Am. 2015 Sep 2;97(17):1449-58.    

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