From fast-track to enhanced recovery after surgery in radical cystectomy pathways: A nursing perspective

Jensen, Bente Thoft; Retinger, Nora Love; Lauridsen, Susanne Vahr

doi:10.1016/j.apjon.2022.02.010

Cited by 6 publications

(5 citation statements)

References 47 publications

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“…Preemptive postoperative analgesia can improve patients’ pain threshold and reduce postoperative pain. Similarly, previous studies on ERAS care also show excellent effects, [22,23] which can also support our experimental results.…”

Section: Discussionsupporting

confidence: 92%

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

Jin

2023

Medicine

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To explore the differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament (PCL) reconstruction at different timing of surgery under the enhanced recovery after surgery (ERAS) protocol. A total of 266 cases of PCL injury admitted to our hospital between March 2019 and October 2022 were included in this retrospective study and divided them into a short-term group (147 cases with PCL reconstruction completed within 3 weeks after injury) and a long-term group (119 cases with PCL reconstruction performed 3 weeks after injury) according to the timing of surgery after injury. All patients received ERAS care during treatment. The operation time, intraoperative blood loss, and incision length of both cohorts were counted to evaluate the clinical efficacy. Perioperative patients were assessed by the Visual Analogue Scale for pain severity. The pre- and post-operative knee function and knee joint range of motion were assessed by the International Knee Documentation Committee and Lysholm Knee Scoring Scale. Furthermore, the complication rate was counted and the quality of life was evaluated by the Short-Form 36 Item Health Survey. Patients were also assessed for their psychological states using the Self-rating Anxiety/Depression Scale and their satisfaction with care. The 2 groups showed similar operation time, intraoperative blood loss, incision length, overall response rate, and Visual Analogue Scale (P > .05), but the short-term group had higher knee range of motion and scores of International Knee Documentation Committee and Lysholm Scale than the long-term group (P < .05). A similar complication rate was also determined in the 2 groups (P > .05), but the Short-Form 36 Item Health Survey scores were significantly higher in the short-term group (P < .05). Self-rating Anxiety Scale and Self-rating Depression Scale in both groups decreased after treatment (P < .05), and no statistical difference was determined in nursing satisfaction (P = 198). PCL reconstruction within 3 weeks after PCL injury is more conducive to the recovery of patients’ knee joint function, and the ERAS protocol can more effectively improve the therapeutic effect of patients.

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Section: Discussionsupporting

confidence: 92%

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

Jin

2023

Medicine

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“…It can promote the accelerated recovery of patients after surgery and achieve the purpose of shortening the patient’s hospitalization time so as to reduce postoperative complications and also the risk of readmission and death ( 19 ). It has been verified that ERAS has a very positive application ( 20 , 21 ). The purpose of this study is to research and analyze the effect of ERAS on perioperative nursing and provide a reference for further study.…”

Section: Introductionmentioning

confidence: 89%

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Xie

et al. 2022

Front. Surg.

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ObjectiveIn order to better understand the relative surgical process, this work used a model-based computational analysis on the effectiveness of enhanced recovery after surgery (ERAS) in the operating room with nursing.MethodsA total of 360 surgical patients in the First Affiliated Hospital, Sun Yat-sen University, from the period June 2020 to March 2021, were randomly divided into two groups, namely, observation group and control group, with 180 cases in each group. Routine nursing was used in the control group, while ERAS was implemented in the observation group from the point of view of four aspects, namely, preoperative visit, intraoperative cooperation, postoperative return visit, and psychological intervention.ResultsPostoperative complications, average hospital stay, nursing satisfaction, and postoperative quality of life in the observation group were significantly better than those in the control group (all p < 0.05).ConclusionThe application of ERAS for surgical patients can enhance team awareness, optimize the process of cooperation, reduce surgical complications and improve nursing quality, and prognosis, and it is worth popularizing in the operating room.

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“…È chiaro come l'introduzione del concetto di approccio multimodale e multiprofessionale alla chirurgia e all'assistenza chirurgica veda un importante coinvolgimento del personale infermieristico. (11) Il sostanziale adattamento delle linee guida ERAS alle diverse realtà cliniche è facilitato dalla figura infermieristica, si ritiene necessario che il team oltre ad essere altamente qualificato presenti caratteristiche come la flessibilità. (7,12) Ostacoli come una scarsa leadership infermieristica, scarso impegno, comunicazione inefficace e mancanza di risorse potrebbero essere barriere nell'adozione del percorso ERAS.…”

Section: Introductionunclassified

Enhanced Recovery After Surgery e assistenza infermieristica in urologia: utopia o futura pietra miliare? Una revisione della letteratura

Milani,

Biscotti,

Gentile

et al. 2023

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BACKGROUND: Enhanced Recovery After Surgery (ERAS) è un programma multidisciplinare volto a ridurre al minimo la risposta del corpo allo stress chirurgico, consente agli assistiti di ottenere outcome migliori, dimissioni precoci e sicure nonché la riduzione dei costi. Nonostante la presenza di numerose evidenze clinico-scientifiche in letteratura sull'utilità del programma ERAS nella chirurgia maggiore, l'implementazione di questo percorso multidisciplinare non ha ancora raggiunto consenso unanime nella chirurgia urologica. OBIETTIVI: Obiettivo del presente lavoro è analizzare per ogni fase del processo chirurgico gli item ERAS messi in atto in chirurgia urologica, valutarne gli esiti e indagare le prospettive infermieristiche. METODI: Dopo aver identificato l’ambito e il quesito di ricerca è stato formulato il PIO (Popolazione, Intervento, Esito). Nei mesi di agosto e settembre 2022 è stata condotta la ricerca bibliografica attraverso la consultazione delle principali banche dati biomediche: PubMed, Cinahl, Embase. RISULTATI: Sono stati ritenuti validi 14 articoli per la stesura dell’elaborato. 1 con disegno qualitativo e 13 con disegno quantitativo. Sono state identificate diverse aree tematiche, idealmente suddivise nelle diverse fasi del processo operatorio. CONCLUSIONI: I contributi analizzati in questo elaborato assumono un significato clinico importante, aggiungendosi al crescente numero di evidenze che supportano il valore di ERAS negli sforzi messi in atto per migliorare gli esiti clinici nella popolazione sottoposta a chirurgia urologica, con particolare riferimento ai pazienti sottoposti a cistectomia radicale, procedura altamente demolitiva.

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From fast-track to enhanced recovery after surgery in radical cystectomy pathways: A nursing perspective

Cited by 6 publications

References 47 publications

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Enhanced Recovery After Surgery e assistenza infermieristica in urologia: utopia o futura pietra miliare? Una revisione della letteratura

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