Enhanced recovery program




















It aims to ensure that patients:. Having an operation can be both physically and emotionally stressful. Enhanced recovery programmes try to get you back to full health as quickly as possible. Research has shown that the earlier a person gets out of bed and starts walking, eating and drinking after having an operation, the shorter their recovery time will be.

Some of the principles of enhanced recovery can be applied to all cases of surgery. However, for some conditions and procedures, specially designed pathways help patients benefit from the principles more effectively. If you need to have an operation, ask whether there's an enhanced recovery programme in place for your condition at the hospital you're going to.

To enhance your recovery from surgery, it's important that you play an active role in your own care. To elaborate, when comparing ERAS to traditional protocols, no significant differences have been observed with respect to surgery duration, readmission rates, and post-operative use of primary care services.

It is governed by the principle that quality in healthcare is:. Avoiding Injuries to patients from the care that is intended to help them.

Patients ought to be as safe in health care facilities as they are in their own homes. Providing scientific knowledge-based services to all who could benefit, and refraining from providing services to those not likely to benefit avoiding underuse and overuse, respectively.

Recognition of these challenges in the development and improvement of your program may be helpful for the long-term success of an ERAS program. Such material is assembled and presented in good faith, but does not necessarily reflect the views of the AANA. Links to third-party websites are inserted for informational purposes and do not constitute endorsement of the material on those sites, or of any associated organization. Intensive insulin therapy in the critically ill patients.

N Engl J Med. Acute pain induces insulin resistance in humans. Effect of epidural analgesia on postoperative insulin resistance as evaluated by insulin clamp technique. The effect of pre-operative glucose loading on postoperative nitrogen metabolism. Ljungqvist O, Soreide E. Preoperative fasting. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev.

Preoperative fasting for preventing perioperative complications in children. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting.

Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on postoperative whole-body protein and glucose kinetics. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol.

Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Preoperative oral carbohydrate treatment attenuates endogenous glucose release 3 days after surgery. Preoperative oral carbohydrate intake attenuates metabolic changes immediately after hip replacement.

Clinical Nutrition. Preoperative oral carbohydrate nutrition: an update. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg.

Pre-operative oral carbohydrate loading in colorectal surgery: a randomized controlled trial. Colorectal Dis. Bowel preparation is associated with spillage of bowel contents in colorectal surgery.

Dis Colon Rectum. Hughes ES. Asepsis in large-bowel surgery. Ann R Coll Surg Engl. Electrolyte disorders following oral sodium phosphate administration for bowel cleansing in elderly patients. Arch Intern Med. Hyponatremia and seizures after bowel preparation: report of three cases.

Beck DE. Mechanical bowel cleansing for surgery. Perspect Colon Rectal Surg. The changes in electrolytes and acid-base balance after artificially induced acute diarrhea by laxatives. J Korean Med Sci. Mechanical bowel preparation for elective colorectal surgery: a meta-analysis. Mechanical bowel preparation before colorectal surgery: results of a prospective randomized trial. Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery.

Bowel preparation with oral polyethylene glycol electrolyte solution vs. Colon and rectal surgery without mechanical bowel preparation: a randomized prospective trial. Ann Surg. Randomized clinical trial of mechanical bowel preparation versus no preparation before elective left-sided colorectal surgery. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial.

Is mechanical bowel preparation necessary in patients undergoing cystectomy and urinary diversion? The impact of early nutrition on metabolic response and postoperative ileus.

Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II. Am J Gastroenterol. Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part I. Mechanisms and treatment of postoperative ileus.

Enhanced recovery after surgery: the future of improving surgical care. Crit Care Clin. Routine nasogastric tubes are not required following cystectomy with urinary diversion: a comparative analysis of patients.

Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy.



0コメント

  • 1000 / 1000