{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T21:54:51Z","timestamp":1744667691348,"version":"3.37.3"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100024597","name":"Office of the Permanent Secretary, Ministry of Higher Education, Science, Research and Innovation, Thailand","doi-asserted-by":"publisher","award":["HEA663000022"],"award-info":[{"award-number":["HEA663000022"]}],"id":[{"id":"10.13039\/501100024597","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee Surg &amp; Relat Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Body fluid retention after major surgeries, including total knee arthroplasty (TKA), is well documented in the literature. Currently, multimodal pain control protocols consisting of several medications together with early discharge protocol may magnify this adverse event after a patient\u2019s discharge. However, no study has focused on the quantitative and chronological changes in body fluids following modern pain management protocols for TKA. The aim of this study was to investigate the perioperative total body water (TBW) change in patient undergoing TKA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patients and methods<\/jats:title>\n                <jats:p>A consecutive series of 85 patients undergoing primary unilateral TKA, with uniform hospital admission, multimodal pain control, and rehabilitation protocol, had five consecutive multifrequency bioelectrical impedance analysis (BIA) scans; baseline, postoperative day 1 (POD 1), postoperative day 3 (POD 3), 2 weeks, and 6 weeks. Changes in TBW, body weight, corticosteroid-fluid retention dose\u2013response relationship, and complications were evaluated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seventy patients completed all five scans and follow-ups. Female patients were dominant, with a mean age of 69.5\u00a0years. There were no perioperative complications. At 24\u00a0h, the mean total fluid input and output were 3695.14\u00a0mL and 1983.43\u00a0mL, respectively, with 1711.71\u00a0mL increments and a mean accumulative dosage of dexamethasone of 15.14\u00a0mg. The mean TBW increased by 2.61 L on POD 1 and continued to peak at 3.2 L on POD 3, then gradually decreased at 2 weeks and reached the baseline level at 6 weeks postoperatively. Similarly, the mean body weight increased to 2.8\u00a0kg on POD 1, reached the maximum point at 3.42\u00a0kg on POD 3, and returned to baseline at 6 weeks.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Fluid retention following multimodal pain control in TKA increased from POD 1, peaked on POD 3, and gradually returned to the baseline at 6 weeks. With early discharge protocol, patient education regarding fluid retention after discharge should be considered.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43019-024-00251-4","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T10:08:12Z","timestamp":1734343692000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Quantifying fluid retention following modern pain management in TKA: an observational study"],"prefix":"10.1186","volume":"36","author":[{"given":"Parkpoom","family":"Somrak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7007-7044","authenticated-orcid":false,"given":"Aree","family":"Tanavalee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srihatach","family":"Ngarmukos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chotetawan","family":"Tanavalee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chavarin","family":"Amarase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nonn","family":"Jaruthien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wirinaree","family":"Kampitak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"251_CR1","doi-asserted-by":"publisher","first-page":"1784","DOI":"10.1016\/j.hpb.2019.05.003","volume":"21","author":"D Akerberg","year":"2019","unstructured":"Akerberg D, Ansari D, Bergenfeldt M, Andersson R, Tingstedt B (2019) Early postoperative fluid retention is a strong predictor for complications after pancreatoduodenectomy. 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All authors understand that the text and any pictures or videos published in the article will be freely available on the internet and may be seen by the general public. The pictures, videos, and text may also appear on other websites or in print, be translated into other languages, or used for commercial purposes.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors declare their competing interests as the following. (1) Royalties from a company or supplier: none. (2) Speakers bureau\/paid presentations for a company or supplier: none. (3A) Paid employee for a company or supplier: none. (3B) Paid consultant for a company or supplier: none. (3C) Unpaid consultants for a company or supplier: none. (4) Stock or stock options in a company or supplier: none. (5) Research support from a company or supplier as a Principal Investigator: none. (6) Other financial or material support from a company or supplier: none. (7) Royalties, financial or material support from publishers: none. (8) Orthopedic publication editorial\/governing board: none. (9) Board member\/committee appointments for a society: none.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"46"}}