Enhanced recovery program for minimally invasive and vaginal urogynecologic surgery
| Autor: | Dana L. Redick, Traci L. Hedrick, Kathie L. Hullfish, Susan C. Modesitt, Mohamed Tiouririne, Elisa R. Trowbridge, Robert H. Thiele, Bethany M. Sarosiek, Sarah L. Evans |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Resuscitation 030219 obstetrics & reproductive medicine business.industry Urology 030232 urology & nephrology Obstetrics and Gynecology Patient counseling Surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction Enhanced recovery Perioperative care Medicine Functional status business Cohort study |
| Zdroj: | International Urogynecology Journal. 30:313-321 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | Enhanced recovery protocols (ERPs) are evidenced-based interventions designed to standardize perioperative care and expedite recovery to baseline functional status after surgery. There remains a paucity of data addressing the effect of ERPs on pelvic reconstructive surgery patients. An ERP was implemented at our institution including: patient counseling, carbohydrate loading, avoidance of opioids, goal-directed fluid resuscitation, immediate postoperative feeding and early ambulation. Patients undergoing elective pelvic reconstructive surgery before and after implementation of the ERP were identified in this cohort study. One hundred eighteen patients underwent pelvic reconstructive surgery within the ERP compared with 76 historic controls. Reductions were seen in length of hospital stay (29.9 vs. 27.9 h, p = 0.04), total morphine equivalents (37.4 vs. 19.4 mg, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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