The evidence-based pathway for peri-operative management of open and robotically assisted laparoscopic radical prostatectomy
| Autor: | Michael S. Cookson, S. Duke Herrell, Roxelyn G. Baumgartner, Laura W. Anderson, Melissa R. Kaufman, Sam S. Chang, Joseph A. Smith |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Evidence-based practice Laparoscopic radical prostatectomy Urology medicine.medical_treatment Decision Making Blood Loss Surgical MEDLINE Postoperative Complications Clinical pathway medicine Humans Intensive care medicine Postoperative Care Prostatectomy Evidence-Based Medicine business.industry Prostatic Neoplasms Robotics Perioperative Evidence-based medicine Surgery Regimen Treatment Outcome Laparoscopy business |
| Zdroj: | BJU International. 99:1103-1108 |
| ISSN: | 1464-410X 1464-4096 |
| DOI: | 10.1111/j.1464-410x.2007.06777.x |
| Popis: | Objective To assess reports supporting the novel and comprehensive evidence-based pathway for radical prostatectomy (RP), as collaborative-care pathways have helped to optimize management of patients treated with RP and such clinical pathways provide an ideal framework for constructing an original evidence-based pathway for the complete peri-operative care of these patients. Patients and methods We searched for articles on Medline via PubMed to identify reports describing consensus opinions on appropriate aspects of the peri-operative management of patients treated with RP, specifically seeking to discern information on preoperative antibiotic regimen, peri-operative laboratory testing, use of beta-blockers for those at cardiac risk, pulmonary treatment, deep venous thrombosis prophylaxis, diet advancement, pain management, anti-emetic use, bowel regimen, and catheter removal after RP. Results Available reports were used to substantiate each variable of our collaborative-care pathway for RP. When available, meta-analyses were used to provide a broad review of the recognized clinical research. Otherwise, many controlled studies and retrospective reviews were relied upon to provide evidence to construct a framework for clinical decision-making. Conclusions This is the first pathway for the peri-operative management of major urological procedure that is well integrated into current literature. The critical aspects of clinical decision-making in the patient treated with RP were validated by the available research. |
| Databáze: | OpenAIRE |
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