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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:...

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Autores principales: Nikodemski, Tomasz, Biskup, Agnieszka, Taszarek, Aleksandra, Albin, Małgorzata, Chudecka-Głaz, Anita, Cymbaluk-Płoska, Aneta, Menkiszak, Janusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2017
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.
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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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