The Trend of Perioperative Care of Gastrectomy in Kanagawa, Japan
| Autor: | Soji Ozawa, Akio Kasahara, Takanobu Yamada, Yuji Yamamoto, Itaru Endo, Munetaka Masuda, Katsuya Yoneyama, Masahiko Watanabe, Junya Shirai, Yasushi Rino |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Perioperative Clinical Practice 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Perioperative care medicine 030211 gastroenterology & hepatology Surgery Community or Gastrectomy Intensive care medicine business |
| Zdroj: | International Surgery. 101:570-576 |
| ISSN: | 2520-2456 0020-8868 |
| Popis: | Comprehensive surveys on perioperative care in Japan, including that in community or private hospitals, have not been reported, and current trends remain unclear. The present survey was designed to investigate current routines for perioperative care in patients who undergo surgery for gastric cancer in Kanagawa, Japan. A questionnaire was designed specifically to obtain information on perioperative routines in patients with gastric cancer throughout Kanagawa. A total of 55 hospitals in Kanagawa responded. Most hospitals perform antimicrobial prophylaxis every 3 hours intraoperatively, use a postoperative drainage tube, use a urinary catheter for only 2 days after surgery, administer epidural anesthesia, and encourage early mobilization. Liquid intake until 3 hours before surgery is not allowed in most hospitals. Most hospitals do not routinely provide preoperative nutrition support, perform bowel mechanical preparation, administer prophylaxis against thromboembolism, place a postoperative nasogastric tube, attempt to maintain normovolemia, or administer planned nonsteroidal anti-inflammatory drugs. The day of restarting drinking or eating varies considerably. Many elements of perioperative management, especially postoperative oral nutrition, have yet to be standardized for patients with gastric cancer in Japan. There are great gaps between clinical practice and evidence-based practice in fluid management and drain usage. |
| Databáze: | OpenAIRE |
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