Reduced fasting time improves comfort and satisfaction of elderly patients undergoing anesthesia for hip fracture

Imbelloni, Luiz Eduardo; Pombo, I.; Filho, Geraldo Borges de Morais

doi:10.1016/j.bjane.2013.10.019

Cited by 15 publications

(22 citation statements)

References 33 publications

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“…[ 16 ] This study showed that in orthopedics, when all gastrointestinal tracts tends to be normal, early feeding generates greater satisfaction to patients and family members and does not cause an increase of nausea and vomit. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients

Imbelloni¹,

Gomes²,

Braga

et al. 2014

Anesth Essays Res

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Background:The prevalence of hip fracture is increasing with the continued aging of the population. The aim of this study was to compare the results after implementing the project accelerated post-operative recovery after surgery femur in patients aged over 60 years.Methods:Patients were observed during two distinct periods: Before implantation and after the implementation of the project Acerto. Patients underwent spinal anesthesia with post-operative analgesia by lumbar plexus block. Data evaluation was carried out in four stages of the study in both groups: Before arrival to the operating room during surgery, post-anesthesia care unit and on the ward in the morning of day 1 post-operatively.Results:The project implementation significantly reduces the length of stay, the number of suspension of surgery, duration of fasting, the incidence of hunger and thirst and the reintroduction of oral feeding. Oral feeding 2-4 h before surgery with dextrinomaltose not attended with nausea and vomiting. All patients were able to discharge on day 1 post-operatively.Conclusions:The use of clinical measures of accelerating patient recovery decreased length of stay, the number of suspensions of surgery, the time of fasting, the time of oral food reintroduction, high earlier and faster return to family life, working as humanization of treatment to the elderly.

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Section: Discussionmentioning

confidence: 99%

Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients

Imbelloni¹,

Gomes²,

Braga

et al. 2014

Anesth Essays Res

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“…By implementing the ACERTO project managed by an anesthetist, orthopedist, geriatrician, nutrition service, nursing and social service and few tests for these patients, it was possible to optimize the perioperative period, reducing the need for ICU, drains, hospital stay and costs, in the 15 articles published (Table 3). Data taken from the various published references shows the incidence of variables before and after implementation of the ACERTO project and decrease in percentage (Table 4) [11][12][13][14]23,24,26,32].…”

Section: Implementation Of Acerto Project In Sus Hospitalmentioning

confidence: 99%

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Imbelloni¹,

Araujo²,

Sakamoto³

et al. 2020

J Sur Anesth Res

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In 2010, we started implementing the ACERTO project in a hospital in the northeast of the Brazilian Public Health (SUS) after five weeks with all stakeholders involved in the departments of Anesthesiology, Orthopedics, Geriatrics, Nutrition, Nursing, Physiotherapy, Psychology and Social Service. In the same way as in other hospitals, the implementation of fast track surgery was not obtained by all departments and all health professionals. The use of ACERTO protocol with clinical measures of accelerating patient recovery decreased length of stay, the number of suspensions of surgery, the need for ICU, the use of vesical catheter, the time of fasting, the time of oral food reintroduction, high earlier and faster return to family life, working as humanization of treatment to the elderly. Analgesia in all patients was obtained with local anesthetics through different plexus blocks with neurostimulator and no patient used spinal opioids. In medicine the vast majority is terribly attached to their arguments and no one is willing to give in to new truths. Dreaming costs nothing and the implementation of the ACERTO Project will cost nothing to any institution

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“…Os autores relatam que a satisfação do paciente reflete sua experiência sobre o atendimento recebido durante o período de internação, sendo este um importante indicador para o setor hospitalar a respeito da qualidade da assistência da equipe e sobretudo da enfermagem. Ao conhecer a opinião do cliente, a gestão dos serviços pode estabelecer uma maior compreensão sobre seus usuários, favorecendo a construção de um vínculo de confiança com seus clientes, readaptação ou continuidade do cuidado que é prestado, contribuindo para a obtenção de avaliação da instituição e da própria assistência multiprofissional 11,12 . Os usuários avaliam o serviço pelo contexto em que estão inseridos na saúde, contemplando sua expectativa quanto as relações humanas e a estrutura física utilizada para o atendimento 13 .…”

Section: Satisfação Do Paciente Na Perspectiva Da Gestão Da Qualidadeunclassified

Avaliação da satisfação do paciente: indicadores assistenciais de qualidade

Almeida

Góis

2020

Rev. Adm. Saúde

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RESUMOIntrodução: A satisfação dos pacientes é um indicador de resultado válido para analisar a qualidade dos serviços de saúde. Objetivo: Identificar através da literatura os fatores relacionados à satisfação dos pacientes no ambiente hospitalar. Metodologia: Trata-se de uma revisão integrativa de caráter exploratório e descritivo, com produções científicas completas, publicadas no período entre 2015 a maio de 2020, na Literatura Latino-Americana em ciências de Saúde (LILACS); Medical Literature Analysis and Retrieval System Online (MEDLINE/PUBMED), (PERIÓDICOS CAPES) e (SCIELO). Os descritores utilizados foram: satisfação do paciente, gestão da qualidade e enfermagem. Foram selecionados artigos publicados em periódicos nacionais e internacionais. Resultados e discussão: Após os critérios de inclusão e exclusão, 17 artigos foram selecionados para a construção do trabalho. A satisfação do paciente reflete sua experiência sobre o atendimento recebido durante o período de internação, sendo este um importante indicador para o setor hospitalar a respeito da qualidade da assistência de enfermagem. Sabe-se que os usuários avaliam o serviço pelo contexto em que estão inseridos na saúde. A avaliação do serviço contempla as relações humanas e a estrutura física utilizada para o atendimento. Conclusão: Conclui-se que o nível de qualidade prestada nos serviços de saúde está diretamente ligado à satisfação do paciente e com isso, é considerado um indicador de qualidade da assistência.Palavras-chave: enfermagem; satisfação do paciente; gestão da qualidade ABSTRACTIntroduction: Patient satisfaction is a valid result indicator to analyze the quality of health services. Objective: Identify through the literature the factors related to patient satisfaction in the hospital environment. Methodology: This is an integrative review of an exploratory and descriptive character, with complete scientific productions, published between 2015 and May 2020, in the Latin American Literature in Health Sciences (LILACS); Medical Literature Analysis and Retrieval System Online (MEDLINE / PUBMED), (PERIÓDICOS CAPES) and (SCIELO). The descriptors used were patient satisfaction, quality management and nursing. Articles published in national and international journals were selected. Results and discussion: After the inclusion and exclusion criteria, 17 articles were selected for the construction of the work. Patient satisfaction reflects his experience on the care received during the hospitalization period, which is an important indicator for the hospital sector regarding the quality of nursing care. It is known that users evaluate the service by the context in which they are inserted in health. The service evaluation includes human relationships and the physical structure used for the service. Conclusion: It is concluded that the level of quality provided in health services is causally linked to patient satisfaction and, therefore, is considered an indicator of quality of care.Keywords: nursing; patient satisfaction; quality management

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Reduced fasting time improves comfort and satisfaction of elderly patients undergoing anesthesia for hip fracture

Abstract: Background and objectives: Patient's satisfaction is a standard indicator of care quality.

Cited by 15 publications

References 33 publications

Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients

Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Avaliação da satisfação do paciente: indicadores assistenciais de qualidade

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