Enhanced recovery after surgery (ERAS) and anesthesia

Solmaz, Filiz Alkaya; Kirdemi̇r, Pakize

doi:10.30565/medalanya.587027

Cited by 4 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, it was determined that the time to ambulation of patients with nausea and vomiting was delayed, and there was a significant difference in terms of nausea. Further, studies have reported that nausea and vomiting lead to reluctance to stand up in patients and thus, delay ambulation (30). Additionally, a reluctance to consume food may develop in patients with nausea.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

AKKAYA

Karacabay

2022

Journal of Basic and Clinical Health Sciences

View full text Add to dashboard Cite

Purpose: The aim of the study was to investigation of the effects of time to ambulation on patient outcomes, anxiety and depression. Method: This is a descriptive cross-sectional study. The study was conducted on 157 patients in the general surgery clinic of a training and research hospital in western Turkey. The data were collected using a Descriptive Form, Patient Outcomes Follow-up Form, Brief Pain Inventory, Hospital Anxiety and Depression Scale (HADS) and analysed by number, percentage, Mann–Whitney U test, Spearman correlation method using the Statistical Package for Social Science software version 24. Results: The mean age of the patients who participated in the study was 49.5±18.1 years. The mean time to ambulation of the patients was 12.45±9.07 hours. The mean pain level of the participants in the last 24 hours, mean HADS-anxiety score and mean HADS-depression score were 3.7±1.7, 4.0±2.6 and 4.4±3.0, respectively. Conclusions: In our study, we found that the time to ambulation was increased as the patients' age, duration of anaesthesia and depression scores increased. Additionally, the ambulation of patients with drains and catheters delayed. Furthermore, it was found that the duration of hospitalisation increased with the increase in the time to ambulation of patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

AKKAYA

Karacabay

2022

Journal of Basic and Clinical Health Sciences

View full text Add to dashboard Cite

show abstract

“…2 Protokol ini bertujuan mengurangi stress respons akibat pembedahan, optimalisasi pemulihan, dan mengurangi lama rawat di rumah sakit. 3 Pasien yang mengalami komplikasi pascaoperasi mengalami peningkatan risiko morbiditas dan mortalitas jangka pendek dan jangka panjang.…”

Section: Pendahuluanunclassified

“…15 Selain itu, Teeuwen dkk, dalam penelitiannya mengenai perbandingan ERAS dan perawatan pascaoperasi konvensional pada pasien pembedahan kolorektal juga mendapati hasil yang serupa, kelompok ERAS dengan median lama rawat 6 (3-50) berbanding 9 (3-138) hari, dengan angka mortalitas yang lebih rendah. 3 Pada penelitian ini, terdapat beberapa keterbatasan. Pertama, terdapat beberapa luaran yang tidak diukur selama penelitian, seperti jumlah kebutuhan opioid yang digunakan pada kedua kelompok, waktu yang dibutuhkan untuk pelepasan kateter urine, serta komplikasi yang timbul selama perawatan yang dapat mempengaruhi lama rawat pasien.…”

Section: Pembahasanunclassified

Perbandingan Luaran Penggunaan Protokol Enhanced Recovery After Surgery (ERAS) dengan Perawatan Perioperatif Konvensional pada Pembedahan Umum di RSUP H. Adam Malik Medan

Saputra,

Tanjung,

Hamdi

2023

JAI b

View full text Add to dashboard Cite

Latar Belakang: Protokol enhanced recovery after surgery (ERAS) merupakan kondisi pemulihan yang lebih cepat setelah operasi dan anestesi. Semua elemen ERAS secara terpisah telah terbukti meningkatkan luaran pasien. Di Indonesia, beberapa pusat pendidikan telah menggunakan ERAS sebagai protokol dalam penatalaksanaan perioperatif.Tujuan: Penelitian ini bertujuan untuk menilai perbandingan luaran antara penerapan protokol ERAS dengan perawatan perioperatif konvensional pada pembedahan umum.Metode: Penelitian prospektif analitik dengan metode case control ini dilakukan di Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan pada bulan Agustus sampai November 2022. Sampel adalah pasien berusia antara 18 sampai 65 tahun yang menjalani operasi elektif digestif dan ginekologi dengan anestesi umum. Pasien yang dirawat di intensive care unit (ICU) dan pasien relaparotomi dieksklusi dari penelitian. Subjek secara acak dibagi menjadi 2 kelompok: subjek pada kelompok ERAS akan menerima perlakuan protokol ERAS pada periode perioperatif, sedangkan kelompok konvensional menjalani persiapan perioperatif seperti biasa. Luaran yang dinilai dalam penelitian ini adalah skala nyeri pascaoperasi, kejadian post operative nausea and vomiting (PONV), waktu mobilisasi, waktu flatus, dan lama rawat.Hasil: Penelitian ini terdiri dari 2 kelompok dengan jumlah sampel sebanyak 23 pasien pada masing-masing kelompok. Berdasarkan jenis operasi, 29 (63%) sampel menjalani operasi pencernaan, dan 17 (37%) sampel menjalani operasi ginekologi. Terdapat perbedaan yang signifikan pada skala nyeri pascaoperasi, dengan rata-rata skor VAS 1,9 ± 0,7 (kelompok ERAS) dibandingkan dengan 2,5 ± 0,8 (kelompok konvensional), p = 0,034. Luaran waktu mobilisasi yang dibutuhkan pasien untuk dapat duduk di tempat tidur adalah 26,17 ± 4,05 jam pada kelompok ERAS dan 38,91 ± 16,53 jam pada kelompok konvensional (p = 0,01). Selanjutnya, lama rawat lebih pendek pada kelompok protokol ERAS, 7,25 ± 2,2 hari dibandingkan 10,5 ± 3,6 hari pada kelompok konvensional (p = 0,0001).Kesimpulan: Implementasi protokol ERAS memberikan hasil pascaoperasi yang lebih baik daripada perawatan konvensional pada pasien yang menjalani operasi pencernaan dan ginekologi.

show abstract

Prevalence of perioperative hypothermia and predisposing factors in a children's hospital

Şahin

Sözbilen

2022

Acta Medica Alanya

View full text Add to dashboard Cite

Background/Aim: Perioperative hypothermia is more common in pediatric patients than in adult patients due to increased body surface area/weight ratio and limited subcutaneous fat deposits. Therefore, active and passive warming techniques are used more frequently in the surgeries applied to pediatric patients. This study presents the prevalence of perioperative hypothermia and the predisposing conditions for perioperative hypothermia in pediatric orthopedic surgeries in which active and passive warming techniques are applied. Methods: This cross-sectional, descriptive, and observational study included 102 children admitted to the pediatric orthopedic clinic of a children’s hospital. Temperature measurements were made with a calibrated infrared tympanic thermometer in all cases while they were waiting in the service room, when they entered the operation theater, when they left the operation theater, and when they left the postoperative care unit. Their demographic data, hemogram, and thyroid hormone parameters, preoperative fasting times related to the procedure, and temperature were recorded. Also, the humidity and temperature values of the operating theater, the operation type performed, the anesthesia method applied during the operation, the complications encountered, and the time spent in the operating theater were all recorded in their follow-up forms. Data analysis was done using SPSS V21.0 and was conducted at a 95% confidence interval. Results: Hypothermia was observed in 20,58% of 102 patients included in the study. Predisposing factors were determined for perioperative hypothermia as follows; the patient's American Society of Anesthesiologists risk score is above 1, concomitant diagnosis of cerebral palsy, low hemoglobin level in the preoperative period, fasting longer than 8 hours, the low body temperature of the patient in the service room, long time stayed in the operating room, and different humidity values of the operating theatre. Conclusion: Although active and passive warming techniques are applied during the operation, perioperative hypothermia was observed in 20,58% of pediatric patients who underwent the orthopedic operation. Consideration of predisposing factors together with active and passive warming techniques may reduce the incidence of perioperative hypothermia.

show abstract

Enhanced recovery after surgery (ERAS) and anesthesia

Cited by 4 publications

References 33 publications

Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

Perbandingan Luaran Penggunaan Protokol Enhanced Recovery After Surgery (ERAS) dengan Perawatan Perioperatif Konvensional pada Pembedahan Umum di RSUP H. Adam Malik Medan

Prevalence of perioperative hypothermia and predisposing factors in a children's hospital

Contact Info

Product

Resources

About