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Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year
AIM OF THE STUDY: An ERAS protocol provides the latest perioperative care principles, whose primary aim is to reduce complication rates, and therefore mortality. The aim of this study is to establish the progress of the ERAS pathway implementation in our gynaecology department. MATERIAL AND METHODS:...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701575/ https://www.ncbi.nlm.nih.gov/pubmed/29180933 http://dx.doi.org/10.5114/wo.2017.69589 |
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author | Nikodemski, Tomasz Biskup, Agnieszka Taszarek, Aleksandra Albin, Małgorzata Chudecka-Głaz, Anita Cymbaluk-Płoska, Aneta Menkiszak, Janusz |
author_facet | Nikodemski, Tomasz Biskup, Agnieszka Taszarek, Aleksandra Albin, Małgorzata Chudecka-Głaz, Anita Cymbaluk-Płoska, Aneta Menkiszak, Janusz |
author_sort | Nikodemski, Tomasz |
collection | PubMed |
description | AIM OF THE STUDY: An ERAS protocol provides the latest perioperative care principles, whose primary aim is to reduce complication rates, and therefore mortality. The aim of this study is to establish the progress of the ERAS pathway implementation in our gynaecology department. MATERIAL AND METHODS: This was a retrospective analysis of two sets of 100 consecutive medical records: patients treated before (PRE-ERAS) and after (ERAS) introduction of the ERAS protocol. All patients were comparable and all underwent major gynaecological surgery. Patients as well as medical and nursing staff were informed about the proposed preparation, surgical management and postoperative routine. RESULTS AND CONCLUSIONS: Patients were given supper and drank water during the night. Laparoscopic surgery was used in 44% and spinal anaesthesia was given for open surgery in 43 study patients. Use of drains was reduced only by 23%, bowel preparation by 15%. Intravenous fluid administration was reduced by 22%. Use of postoperative morphine was minimised to 12 patients. Postoperative nausea was managed with the regular use of anti-emetics. Anti-coagulation was given to 80% of the study group. Difficulties in the introduction of the ERAS protocol were due to refusal by some patients to mobilise and eat early postoperatively. Patients in the ERAS programme group were discharged earlier. Further information about the ERAS protocol in the media would facilitate patients’ education among conservative society. In order to introduce new and innovative treatment methods, one has to take into account the cultural and ideological factors, especially when patient involvement is essential. |
format | Online Article Text |
id | pubmed-5701575 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-57015752017-11-27 Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year Nikodemski, Tomasz Biskup, Agnieszka Taszarek, Aleksandra Albin, Małgorzata Chudecka-Głaz, Anita Cymbaluk-Płoska, Aneta Menkiszak, Janusz Contemp Oncol (Pozn) Original Paper AIM OF THE STUDY: An ERAS protocol provides the latest perioperative care principles, whose primary aim is to reduce complication rates, and therefore mortality. The aim of this study is to establish the progress of the ERAS pathway implementation in our gynaecology department. MATERIAL AND METHODS: This was a retrospective analysis of two sets of 100 consecutive medical records: patients treated before (PRE-ERAS) and after (ERAS) introduction of the ERAS protocol. All patients were comparable and all underwent major gynaecological surgery. Patients as well as medical and nursing staff were informed about the proposed preparation, surgical management and postoperative routine. RESULTS AND CONCLUSIONS: Patients were given supper and drank water during the night. Laparoscopic surgery was used in 44% and spinal anaesthesia was given for open surgery in 43 study patients. Use of drains was reduced only by 23%, bowel preparation by 15%. Intravenous fluid administration was reduced by 22%. Use of postoperative morphine was minimised to 12 patients. Postoperative nausea was managed with the regular use of anti-emetics. Anti-coagulation was given to 80% of the study group. Difficulties in the introduction of the ERAS protocol were due to refusal by some patients to mobilise and eat early postoperatively. Patients in the ERAS programme group were discharged earlier. Further information about the ERAS protocol in the media would facilitate patients’ education among conservative society. In order to introduce new and innovative treatment methods, one has to take into account the cultural and ideological factors, especially when patient involvement is essential. Termedia Publishing House 2017-09-29 2017 /pmc/articles/PMC5701575/ /pubmed/29180933 http://dx.doi.org/10.5114/wo.2017.69589 Text en Copyright: © 2017 Termedia Sp. z o. o. http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Nikodemski, Tomasz Biskup, Agnieszka Taszarek, Aleksandra Albin, Małgorzata Chudecka-Głaz, Anita Cymbaluk-Płoska, Aneta Menkiszak, Janusz Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title | Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title_full | Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title_fullStr | Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title_full_unstemmed | Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title_short | Implementation of an enhanced recovery after surgery (ERAS) protocol in a gynaecology department – the follow-up at 1 year |
title_sort | implementation of an enhanced recovery after surgery (eras) protocol in a gynaecology department – the follow-up at 1 year |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701575/ https://www.ncbi.nlm.nih.gov/pubmed/29180933 http://dx.doi.org/10.5114/wo.2017.69589 |
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