2010
DOI: 10.1590/s0004-28032010000200012
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Clinical benefits after the implementation of a multimodal perioperative protocol in elderly patients

Abstract: -Context -Multimodal protocol of perioperative care may enhance recovery after surgery. Based on evidence these new routines of perioperative care changed conventional prescriptions in surgery. Objective -To evaluate the results of a multimodal protocol (ACERTO protocol) in elderly patients. Methods -Non-randomized historical cohort study was performed at the surgical ward of a tertiary university hospital. One hundred seventeen patients aged 60 and older were submitted to elective abdominal operations under e… Show more

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Cited by 28 publications
(30 citation statements)
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References 33 publications
(81 reference statements)
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“…42 At the same time, some studies have documented successful interventions that improved the NPO practice. Aguilar-Nascimento et al 43 implemented a protocol at a single center in Brazil that shortened preoperative and postoperative fasting times in a nonrandomized …”
Section: Discussionmentioning
confidence: 99%
“…42 At the same time, some studies have documented successful interventions that improved the NPO practice. Aguilar-Nascimento et al 43 implemented a protocol at a single center in Brazil that shortened preoperative and postoperative fasting times in a nonrandomized …”
Section: Discussionmentioning
confidence: 99%
“…Patients undergoing major abdominal surgery who are at high risk of a poor outcome—particularly elderly patients and patients with underlying chronic respiratory diseases—should be scheduled for intensive care treatment [122–124]. In addition, should extended monitoring, invasive mechanical ventilation, continuous application of several intravenous drugs or any kind of extracorporeal procedure be required, the patient must be transferred to a high-dependency ICU.…”
Section: Intraoperative Managementmentioning
confidence: 99%
“…Персонализированный под ход к обезболиванию и применение НПВС позво-ляют ограничить использование наркотических боле- Colorectal КОЛОПРОКТОЛОГИЯ 2' 2016 О р и г и н а л ь н ы е и с с л е д о в а н и я утоляющих средств [14]. Это, в свою очередь, с высокой степенью достоверности снижает послеоперационные осложнения и общую летальность [15][16][17] и потребность в инфузионной и антибактериальной терапии [18]. В настоящий момент анализ проведен на неболь-ших группах пациентов, ввиду чего возможно сделать лишь предварительный вывод о преимуществах данной программы.…”
Section: Discussionunclassified