ERAS Protocol in Major Liver Resection

Bayar, Ozlem Ondes; Bademci, Refik; Sozener, Ulas; Tüzüner, Acar; Karayalçın, Kaan

doi:10.5222/otd.2013.135

Cited by 3 publications

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References 4 publications

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“…Patients in the accelerated surgery group were ambulated early in the first 24 hours after surgery and allowed to spend two hours out of bed on the day of surgery and six hours on the following days until they were discharged. The duration of hospitalization in this group was 5.5±1.4 days, whereas that of the conventional surgery group was 11.4±2.84 days (40). Another study stated that the duration of hospitalization was 5.7 days in patients who were ambulated early and 12.9 days in those who were not ambulated early (41).…”

Section: Discussionmentioning

confidence: 73%

“…Studies have reported that the duration of hospitalization was significantly shorter in patients who were ambulated early after surgery, and that the physical, social and psychological well-being of the patients were better (16,38,39). In the study by Öndeş Bayar et al (40), patients who underwent liver resection were divided into two groups (accelerated surgery group and conventional surgery group). Patients in the accelerated surgery group were ambulated early in the first 24 hours after surgery and allowed to spend two hours out of bed on the day of surgery and six hours on the following days until they were discharged.…”

Section: Discussionmentioning

confidence: 99%

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

AKKAYA

Karacabay

2022

Journal of Basic and Clinical Health Sciences

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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.

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Section: Discussionmentioning

confidence: 73%

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

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Our experience in perioperative medicine in patients with colorectal surgery

UYSAL

Süren

Doğru

et al. 2022

Journal of Contemporary Medicine

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Aim: ERAS (Enhanced Recovery After Surgery) programmes have been becoming more important day by day. Researchers should compose these type of programmes according to the conditions of their surgical centers. In this study we aimed to demonstrate our experience on enhanced recovery after surgery protocol. Material and Method:To optimize the patients mental and physical status; informative meetings about operation were arrenged with patients and relatives, and walking and respiratory exercises were given to patients. Patients were received either spinal or epidural analgesia for postoperative pain management. After operation patients were followed up at surgical intensive care unit and surgery ward. Pain scores and clinical status of the patients were evaluated.Results: A total of 65 patients were included in this retrospective study. Numerical Rating Scale (NRS) scores found significantly lower in thoracal epidural analgesia group than spinal analgesia group at 6., 12., 24., 48. hours (p=0.036; p=0.002; p=0.002; p=0.003 respectively). Early mobilizated patients oral intake and first flatus time were much earlier. Conclusions:Positive qualitative clinical impacts were determined on patients. Controlling pain at postoperative period is an important part of enhanced recovery programmes. Our protocol was about colorectal surgeries in our hospital but we believe that enhanced recovery protocols should be used for different type of surgeries widespread

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Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables

Aldemir

Sayılan

2020

Cukurova Medical Journal

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The purpose of this study was to determine the effect on sleep duration, pain level, first flatus and defecation time, and discharge of a mobilization program administered under nurse supervision and monitoring following open cholecystectomy. Materials and Methods: This experimental study was performed in February-August 2019 in the general surgery clinic of a public hospital. Considering the possibility of data loss, 68 patients meeting the research criteria were included. Two patients from the experimental group and two from the control group subsequently dropped out, and the study was finally completed with 64 patients. Data were collected using a patient description form, a Visual Analogue Scale, and a walking chart on which pedometer output was recorded. Results: Length of hospitalization was shorter, first flatus and defecation time occurred earlier, and walking distances were longer in the experimental group compared to the control group. No difference was determined between the groups in terms of amount of drainage, or times to spontaneous urination. It was determined that the pain levels in the control were lower than those in the experimental group on postoperative day 1, and sleep durations on postoperative days 2 and 3 were significantly longer. Conclusion: Earlier first flatus, defecation time, and discharge, and significantly longer walking distances, were determined in the experimental group compared to the control group. However, the mobilization program had no effect on sleep duration or pain levels. Amaç: Bu çalışma açık kolesistektomi sonrası hastalara hemşire gözetimi ve denetiminde uygulanan mobilizasyon programının uyku süresi, ağrı düzeyi, ilk flatus, gayta çıkışı ve taburculuk üzerine etkisinin belirlenmesi amacıyla yapıldı. Gereç Yöntem: Deneysel tipteki çalışma bir devlet hastanesinin genel cerrahi kliniğinde Şubat-Ağustos 2019 tarihleri arasında yapıldı. Veri kaybı olasılığı göz önüne alındığında, araştırma kriterlerini karşılayan 68 hasta çalışmaya dahil edildi. Çalışma süresince iki hasta deney grubundan iki hasta kontrol grubundan çıkarıldı ve çalışma 64 hastayla tamamlandı. Veriler hasta tanıtım formu, postoperatif izlem çizelgesi, Görsel kıyaslama ölçeği, pedometre çıktılarının kaydedildiği yürüme çizelgesi ile toplandı. Bulgular: Deney grubu hastaların, kontrol grubuna göre hastanede yatış sürelerinin kısa, gaz ve gaita çıkış saatlerinin daha erken, yürüme mesafelerinin ise uzun olduğu, dren geleni ve spontan idrara çıkış zamanları açısından iki grup arasında fark olmadığı saptandı. Kontrol grubunun postop 1. gün ağrı düzeylerinin anlamlı düzeyde daha düşük, postop 2 ve 3. günde ise fark olmadığı, uyku süreleri ise, postop 1. ve 2. günde kontrol grubunun deney grubundan daha yüksek olduğu belirlendi. Sonuç: Deney grubu hastaların ilk gaz ve gayta çıkışlarının, taburculukların kontrol gruba göre erken olduğu, yürüme mesafelerinin anlamlı şekilde uzun olduğu saptandı. Buna rağmen mobilizasyon programının uyku süreleri ve ağrı düzeylerine etkisi olmadığı belirlendi.

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ERAS Protocol in Major Liver Resection

Abstract: Conclusion:As seen in our large series study, PNL is a highly effective and safe procedure that can be applied to the obese patients.

Cited by 3 publications

References 4 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

Our experience in perioperative medicine in patients with colorectal surgery

Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables

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