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Traditionally, total knee arthroplasty has been performed in the hospital setting. There has been a trend in healthcare that has moved this invasive procedure to the outpatient setting, in ambulatory surgery centers. In order for anesthesia providers to be prepared for the shift of this special population of patients, a clinical practice guideline was created to fulfill this scholarly project. It was expected that the application of this guideline would result in an increased use of the current evidence and the subsequent readiness of anesthesia providers to accept this patient population into surgery centers. It was also anticipated that the guideline would increase in safety for patients and demonstrate to surgeons and administration that it was appropriate to perform total knee replacement in ambulatory surgery centers. The scholarly project took place at South Ogden Specialty Surgery Center in Ogden, Utah, and included a thorough literature review, needs assessment, Delphi studies, and a proposed plan of implementation. It was hoped that the utilization of this guideline in the center would improve care and make a difference in the lives of patients.

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