Is standardized care feasible in the emergency setting? A case matched analysis of patients undergoing laparoscopic cholecystectomy

Autor: Nicolas Demartines, Catherine Blanc, Martin Hübner, Nermin Halkic, Nicolas Fournier, Matthieu Cachemaille, Fabian Grass
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Nausea
medicine.medical_treatment
Cholecystitis
Acute
Fentanyl
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Elective
medicine
Humans
Cholecystectomy
Prospective Studies
Aged
Cholecystectomy
Laparoscopic/standards
Cholecystitis
Acute/surgery
Critical Pathways
Elective Surgical Procedures/standards
Emergencies
Feasibility Studies
Female
Middle Aged
Pain Measurement
Pain
Postoperative
Patient Satisfaction
Postoperative Nausea and Vomiting
Emergent
Postoperative
business.industry
General Medicine
Perioperative
Metamizole
Pain management
Surgery
Cholecystectomy
Laparoscopic
Elective Surgical Procedures
030220 oncology & carcinogenesis
Anesthesia
Observational study
medicine.symptom
business
030217 neurology & neurosurgery
Postoperative nausea and vomiting
medicine.drug
Research Article
Zdroj: BMC surgery, vol. 16, no. 1, pp. 78
BMC Surgery
Europe PubMed Central
Popis: Background Immediate laparoscopic cholecystectomy is the accepted standard for the treatment of acute cholecystitis. The aim of the present study was to evaluate the feasibility of a standardized approach with tailored care maps for pre- and postoperative care by comparing pain, nausea and patient satisfaction after elective and emergent laparoscopic cholecystectomy. Methods From January 2014 until April 2015, data on pain and nausea management were prospectively recorded for all elective and emergency procedures in the department of visceral surgery. This prospective observational study compared consecutive laparoscopic elective vs. emergency cholecystectomies. Visual analogue scales (VAS) were used to measure pain, nausea, and satisfaction from recovery room until 96 hours postoperatively. Results Final analysis included 168 (79%) elective cholecystectomies and 44 (21%) emergent procedures. Demographics (Age, gender, BMI and ASA-scores) were comparable between the 2 groups. In the emergency group, patients did not receive anxiolytic medication (0% vs.13%, p = 0.009) and less postoperative nausea and vomiting (PONV) prophylaxis (77% vs. 97% p =
Databáze: OpenAIRE
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