Anesthesia for Colorectal Surgery

Baldini, Gabriele; Fawcett, William

doi:10.1016/j.anclin.2014.11.007

Cited by 24 publications

(11 citation statements)

References 161 publications

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“…In this health facility, patients enlisted for major orthopedic surgery could undergo a program for correcting anemia conditions, thus ameliorating outcomes. Nowadays, an opportunity for anemia correction could be exploited during the anesthesia evaluation 30 days prior to surgery, when clinical and surgical needs are considered [19]. Most anemia types can be corrected through parenteral iron that bypasses the step of intestinal absorption, thus assuring the repletion of body storages often upon one-time administration.…”

Section: Martial Status In Orthopedic Surgerymentioning

confidence: 99%

Oral Supplementation with Sucrosomial Ferric Pyrophosphate Plus L-Ascorbic Acid to Ameliorate the Martial Status: A Randomized Controlled Trial

et al. 2020

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Altered martial indices before orthopedic surgery are associated with higher rates of complications and greatly affect the patient’s functional ability. Oral supplements can optimize the preoperative martial status, with clinical efficacy and the patient’s tolerability being highly dependent on the pharmaceutical formula. Patients undergoing elective hip/knee arthroplasty were randomized to be supplemented with a 30-day oral therapy of sucrosomial ferric pyrophosphate plus L-ascorbic acid. The tolerability was 2.7% among treated patients. Adjustments for confounding factors, such as iron absorption influencers, showed a relevant response limited to older patients (≥ 65 years old), whose uncharacterized Hb loss was averted upon treatment with iron formula. Older patients with no support lost −2.8 ± 5.1%, while the intervention group gained +0.7 ± 4.6% of circulating hemoglobin from baseline (p = 0.019). Gastrointestinal diseases, medications, and possible dietary factors could affect the efficacy of iron supplements. Future opportunities may consider to couple ferric pyrophosphate with other nutrients, to pay attention in avoiding absorption disruptors, or to implement interventions to obtain an earlier martial status optimization at the population level.

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Section: Martial Status In Orthopedic Surgerymentioning

confidence: 99%

Oral Supplementation with Sucrosomial Ferric Pyrophosphate Plus L-Ascorbic Acid to Ameliorate the Martial Status: A Randomized Controlled Trial

et al. 2020

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“…Anesthesiologists serve an important role in facilitating the recovery of patients undergoing surgery using an ERAS protocol. Successful implementation of ERAS programs require anesthesiologists to be more involved in perioperative care and to be more aware of the impact of anesthetic techniques on surgical outcomes and recovery ( 15 ). Optimizing perioperative pain management while reducing opioid use were the major goals of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Although total intravenous anesthesia (TIVA) with propofol and remifentanil may be sufficient, prolonged use of TIVA may increase adverse effects, including delayed awakening, myocardial depression and hemodynamic instability ( 15 ). Patients undergoing abdominal surgery often suffer from uncontrolled postoperative pain ( 2 , 3 , 6 ).…”

Section: Discussionmentioning

confidence: 99%

Transversus abdominis plane block reduces remifentanil and propofol consumption, evaluated by closed‑loop titration guided by bispectral index

Wang²,

Sun

et al. 2018

Exp Ther Med

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The present prospective, randomized, double-blind study aimed to determine the impact of transversus abdominis plane (TAP) block on propofol and remifentanil consumption, when administered by closed-loop titration guided by processed electroencephalography, i.e., bispectral index (BIS) values. Following institutional review board approval, 60 patients were scheduled for laparoscopic colectomy under general anesthesia. Patients were randomly assigned to receive bilateral TAP block with 20 ml 0.375% ropivacaine (TAP group) or 20 ml 0.9% saline [control (CON) group]. General anesthesia was maintained with propofol and remifentanil administration using closed-loop titration guided by BIS values. The primary outcome was perioperative propofol and remifentanil consumption. The secondary outcomes were hypertensive or hypotensive events requiring treatment, recovery time in PACU and time to first rescue analgesia following surgery. A total of 58 patients participated in the present study. At similar depths of anesthesia, as measured by BIS during the maintenance phase (45–55), patients who received TAP blocks required less propofol (4.2±1.3 vs. 5.5±1.6 mg/kg/h; P<0.001) and remifentanil (0.16±0.05 vs. 0.21±0.05 µg/kg/min; P<0.001). Time to extubation was significantly shorter in the TAP group (9.8±3.2 min) than in the CON group (14.2±4.9 min) (P<0.05). The requirement to treat hemodynamic change was also significantly lower (P<0.05). Pain score at 2 h after surgery was also significantly reduced in the TAP group compared with the CON group (P<0.05), whereas the time to first rescue analgesia was delayed in patients who received TAP block (P<0.05). Postoperative nausea and vomiting occurred at comparable rates in each group (P>0.05). In conclusion, TAP block combined with general anesthesia reduced propofol and remifentanil consumption, shortened time to tracheal extubation and promoted hemodynamic stability in laparoscopic colectomy.

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“…Обычной практикой при обширных проктологических операциях на сегодняшний день является применение общей анестезии с искусственной вентиляцией легких (ИВЛ) [4], а также использование грудной эпидуральной аналгезии в послеоперационном периоде, которая ассоциируется с более качественной анальгезией и контролем над болью [5,6]. Интраоперационное же сочетание общей анестезии с эпидуральной, по данным различных авторов, также обладает рядом преимуществ.…”

Section: âведениеunclassified

Combined Anesthesia by Sevoflurane and Fentanyl in Elderly Patients With Different Reactivity of the Cardiovascular and Respiratory Systems

Veyler¹

2018

Kuban. nauсh. med. vestnik

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АННОТАЦИЯ Цель. Оценка течения анестезии по данным центральной гемодинамики, кислородного, кислотно-основного, температурного гомеостаза, мониторинга нейромышечной проводимости, глубины анестезии и постнаркозного восстановления сознания. Материалы и методы. Исследование проведено у 78 пациентов, подвергшихся обширным абдоминальным операциям в условиях комбинированной анестезии. Все пациенты были разделены на 4 группы в зависимости от характеристик вызванной динамики постоянного потенциала. Результаты. Анестезия у пациентов с высокой реактивностью ССС и ДС приводила к развитию гипердинамического типа кровообращения, увеличению расхода фентанила, а также к повышенному риску замедленного послеоперационного пробуждения. У пациентов других групп наблюдалось стабильное течение комбинированной анестезии. Заключение. У пациентов с высокой реактивностью целесообразно применение сочетанной анестезии. У пациентов других групп применение комбинированной анестезии обеспечивает адекватную защиту от операционного стресса. Ключевые слова: комбинированная анестезия, вызванная динамика постоянного потенциала, реактивность ССС и ДС Для цитирования: Вейлер Р.В. Особенности течения комбинированной анестезии у пожилых пациентов с различной реактивностью сердечно-сосудистой и дыхательной систем.

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Anesthesia for Colorectal Surgery

Cited by 24 publications

References 161 publications

Oral Supplementation with Sucrosomial Ferric Pyrophosphate Plus L-Ascorbic Acid to Ameliorate the Martial Status: A Randomized Controlled Trial

Oral Supplementation with Sucrosomial Ferric Pyrophosphate Plus L-Ascorbic Acid to Ameliorate the Martial Status: A Randomized Controlled Trial

Transversus abdominis plane block reduces remifentanil and propofol consumption, evaluated by closed‑loop titration guided by bispectral index

Combined Anesthesia by Sevoflurane and Fentanyl in Elderly Patients With Different Reactivity of the Cardiovascular and Respiratory Systems

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