Enhanced recovery after bariatric surgery

Ruíz-Tóvar, Jaime; Sánchez-Santos, Raquel; Martín-García-Almenta, Ester; Villabona, Esther García; Hernández, Artur M; Hernández-Matías, Alberto; Ramı́rez, José M.

doi:10.1016/j.cireng.2019.11.018

Cited by 3 publications

(5 citation statements)

References 61 publications

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“…This is mainly because ERAS combined with comfort nursing intervention can alleviate patients' anxiety through proper preoperative health education and effective psychological nursing [ 23 ]. According to the situation of each patient, targeted psychological counseling is carried out, and the surgical plan and rehabilitation measures are explained in detail, so that the patients and their families can actively cooperate with the operation and get through the perioperative period safely [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

Xue

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the effect of enhanced recovery after surgery (ERAS) combined with comfortable nursing on the quality of life and complications of elderly patients with femoral neck fracture (FNF). Methods. From May 2019 to May 2020, 80 senile FNF patients who admitted to our hospital were treated by total hip arthroplasty (THA). All patients were randomly divided upon admission into a control group (CG) with usual care and a study group (RG) with ERAS combined with comfort care of 40 patients each. The postoperative efficacy was assessed by Harris score of hip joint function, and the psychology was evaluated by self-rating anxiety scale (SAS). The SF-36 score of quality of life, the time of catheter removal, the time of getting out of bed, the hospital stays, the satisfaction of nursing, and the Barthel score of self-care ability were compared between the two groups before and after nursing, and the incidence of postoperative complications was also evaluated. Results. Compared with the CG, the SF-36 score of quality of life and Barthel score of self-care ability in the RG were dramatically higher, while the SAS score of anxiety was dramatically lower. Besides, the time of catheter removal, the time of getting out of bed, and the hospital stays in the RG were dramatically lower ( P < 0.05). Furthermore, the nursing satisfaction and postoperative efficacy of patients in the RG were obviously higher (both P < 0.05), while the incidence of complications in the RG was obviously lower ( P < 0.05). Conclusion. ERAS combined with comfortable nursing can improve the hip joint function, quality of life, and self-care ability scores of senile FNF patients; relieve the anxiety in patients; and reduce the incidence of postoperative complications, which is valuable to be applied extensively.

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Section: Discussionmentioning

confidence: 99%

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

Xue

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…16 Also in primary and revisional bariatric surgery, extensive research has been done and ERAS or ERABS (Enhanced Recovery After Bariatric Surgery) has been implemented in the majority of hospitals worldwide. [17][18][19][20] These care pathways were designed to modify physiological and psychological responses to surgical trauma by integrating a range of evidence-based components into a standardised clinical pathway. The most important aspect is that all these reductions (e.g.…”

Section: Screeningmentioning

confidence: 99%

<p>Perioperative Exercise Therapy in Bariatric Surgery: Improving Patient Outcomes</p>

Pouwels¹,

Sanches²,

Çağıltay

et al. 2020

DMSO

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Nowadays, obesity and related comorbidities like type 2 diabetes, hypertension, dyslipidaemia and obstructive sleep apnoea syndrome are considered one of the medical challenges of the 21st century. Even with the rise of bariatric and metabolic surgery, obesity and metabolic syndrome are reaching endemic proportions. Even in 2020, obesity is still a growing problem. There is increasing evidence that next to bariatric surgery, exercise interventions in the perioperative period could give extra beneficial effects. In this regard, effects on anthropometrics, cardiovascular risk factors and physical fitness. The aim of this review is to summarise effects of preoperative and postoperative exercise, tools for screening and directions for future research and implementations.

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“…In response to variations in current pain management practices, endorsement of standardized anesthesia and analgesia is repeatedly echoed in the recent literature. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The ERAS pain management strategies aimed to optimize patients' health status and addressed the themes of procedural-specificity, 13,14,16,18,21,22,24,26,[28][29][30][31][32]34,[36][37][38][39]43 opioid-sparing, [13][14][15][16][17][18][21][22][23][24][26][27]…”

Section: Appraising the Literaturementioning

confidence: 99%

“…In response to variations in current pain management practices, endorsement of standardized anesthesia and analgesia is repeatedly echoed in the recent literature 13‐31 . The ERAS pain management strategies aimed to optimize patients’ health status and addressed the themes of procedural‐specificity, 13,14,16,18,21,22,24,26,28‐32,34,36‐39,43 opioid‐sparing, 13‐15,16‐18,21‐24,26‐39,43 and multimodal analgesia 13‐15,16‐18,21‐24,26‐35,37‐39,43 . To address these themes, health care professionals can implement a synergistic pain management approach tailored to the procedure being performed that may involve administration of medications and use of techniques to target pain receptors.…”

Section: Appraising the Literaturementioning

confidence: 99%

“…The review further excluded the following: articles that did not address pain management, ERAS, or perioperative settings; studies on specific pain modalities; studies on pediatric patients; evaluation tool interventions; interventions after discharge; and preliminary trials. After screening for duplicate articles and reviewing all titles, 31 eligible articles remained 13‐43 …”

Section: Accessing the Literaturementioning

confidence: 99%

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The Effect of Implementing a Standardized Enhanced Recovery After Surgery Pain Management Pathway at an Urban Medical Center in Hawaii

Doronio,

Lee

2023

AORN Journal

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Traditional use of opioids to treat postoperative pain may lead to abuse and overdose. The development of Enhanced Recovery After Surgery (ERAS) protocols has helped to shift pain management from traditional methods to evidence‐based best practices involving multimodal analgesia techniques. The purpose of this quality improvement project was to implement and determine the effectiveness of a standardized, evidence‐based ERAS pain management pathway for patients undergoing colorectal or gynecology procedures at a medical center in Hawaii. After the intervention, the evaluation of data associated with opioid use, patients’ pain scores, time spent in the postanesthesia care unit, and inpatient length of stay showed that most results were not significant. However, the ERAS pain management pathway did reduce clinical practice variations, intraoperative opioid administration, the time that patients spent in the postanesthesia care unit, and length of stay. The ERAS pain management pathway continues to be used and updated at this facility.

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Enhanced recovery after bariatric surgery

Cited by 3 publications

References 61 publications

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

<p>Perioperative Exercise Therapy in Bariatric Surgery: Improving Patient Outcomes</p>

The Effect of Implementing a Standardized Enhanced Recovery After Surgery Pain Management Pathway at an Urban Medical Center in Hawaii

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