Enhanced Recovery After Surgery Protocol for Primary Cleft Palate Repair: Improving Transition of Care
| Autor: | Joseph K. Moffitt, John F. Teichgraeber, Matthew R. Greives, Phuong D. Nguyen, Rhashedah A. Ekeoduru, Alfredo Cepeda |
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| Rok vydání: | 2020 |
| Předmět: |
Patient Transfer
medicine.medical_specialty Narcotic medicine.medical_treatment Pain medicine Aftercare 03 medical and health sciences 0302 clinical medicine medicine Humans Prospective Studies 030223 otorhinolaryngology Prospective cohort study Retrospective Studies Pain Postoperative business.industry Retrospective cohort study 030206 dentistry General Medicine Pain scale Emergency department Length of Stay Institutional review board Patient Discharge Cleft Palate Palatoplasty Otorhinolaryngology Physical therapy Surgery Enhanced Recovery After Surgery business |
| Zdroj: | Journal of Craniofacial Surgery. 32:e72-e76 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000006985 |
| Popis: | BACKGROUND Enhanced recovery after surgery (ERAS) protocols have been adopted for many types of surgery. Postoperative pain following palatoplasty may cause feeding and swallowing difficulty. Our study evaluated the use of ERAS protocols to improve the management of pain following primary palatoplasty as well as in the transition of care from inpatient to outpatient. METHODS An Institutional Review Board approved retrospective analysis was performed for patients who previously underwent primary palatoplasty before ERAS implementation. Separately, an Institutional Review Board approved prospective trial of patients undergoing primary palatoplasty was performed and these patients were managed with ERAS protocols. Data were obtained for length of stay, pain scale scores, milligrams of morphine administered, and inpatient readmissions/emergency department visits. Outpatient medication logs were used to follow pain medicine usage, and a satisfaction survey was administered at the first postoperative visit. RESULTS Data were obtained retrospectively for 56 patients and prospectively for 57 patients who underwent primary palatoplasty. Patients in the ERAS protocol received significantly less milligrams of morphine on postoperative day 1 through day 4 than those patients in the usual care group P |
| Databáze: | OpenAIRE |
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