Identifying Components Necessary for an Enhanced Recovery After Surgery Pathway for Elective Intracranial Surgery: An Improvement Project Using the Quality of Recovery-15 Score

Johnson, Anna D.; Rice, Andi N.; Titch, J. Frank; Gupta, Dhanesh K.

doi:10.1016/j.wneu.2019.06.108

Cited by 8 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous study, postoperative QoR-15 score on postoperative day 1 was 134.3 ± 17.3 in patients who underwent elective craniotomy [15]. Assuming that postoperative QoR-15 score increases by 10% when dexmedetomidine is administered, a minimum sample size of 27 patients was needed in each group when setting the α and β to 0.05 and 0.2, respectively.…”

Section: Sample Size Calculationmentioning

confidence: 99%

Effect of intraoperative dexmedetomidine on early postoperative quality of recovery in patients undergoing endoscopic transsphenoidal surgery for non-functioning pituitary adenoma: a randomized controlled trial

Choi,

Lim,

Shin

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose Intraoperative dexmedetomidine administration attenuates surgical stress response and reduces postoperative pain, which are both essential for enhancing postoperative quality of recovery (QoR). This study aimed to determine whether intraoperative dexmedetomidine could improve early postoperative QoR in patients with nonfunctioning pituitary adenoma (NFPA) undergoing endoscopic transsphenoidal surgery (ETS). Methods Patients with NFPA who underwent ETS under total intravenous anesthesia using continuous infusion of propofol and remifentanil were randomly assigned to receive either intraoperative dexmedetomidine (dexmedetomidine group, n = 29) or normal saline (control group, n = 32). The QoR-15 questionnaire was used to evaluate the postoperative QoR. The primary outcome measure was the QoR-15 score on postoperative day 1. Perioperative serum cortisol levels, intraoperative serum interleukin-6 levels, and pain scores at 4, 24, and 48 h postoperatively were also evaluated. Results The QoR-15 score on postoperative day 1 did not differ between the dexmedetomidine and control groups (94.0 [79.0–112.0] vs. 92.5 [68.3–110.8], P = 0.606). Perioperative serum cortisol levels showed no significant time × group effect (P = 0.578). Intraoperative serum interleukin-6 level did not differ between the two groups (P = 0.974). Pain score was lower in the dexmedetomidine group at 4 h postoperatively (0.0 [0.0–0.0] vs. 1.0 [0.0–3.0], P = 0.003) than the control group. Conclusion Dexmedetomidine, as an anesthetic adjuvant, did not improve early postoperative QoR in patients with NFPA during ETS.

show abstract

Section: Sample Size Calculationmentioning

confidence: 99%

Effect of intraoperative dexmedetomidine on early postoperative quality of recovery in patients undergoing endoscopic transsphenoidal surgery for non-functioning pituitary adenoma: a randomized controlled trial

Choi,

Lim,

Shin

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…A similar disease-specific scoring system, the HerQIes score, is used to evaluate quality of life in patients with ventral hernias prior to surgery and assess patient risk [9]. Other scoring systems have aimed to quantify not only patient risk but also patient qualities that may slow the course of recovery [29]. Such predictive scoring systems could help identify patients with heart disease or obstructive sleep apnea [28].…”

Section: Limitations Of Erasmentioning

confidence: 99%

Maximization of Non-Opioid Multimodal Analgesia in Ambulatory Surgery Centers

Charipova¹,

Gress²,

Urits³

et al. 2020

Cureus

View full text Add to dashboard Cite

Ambulatory surgery centers aid the healthcare system by not only providing a cost-effective option for delivery of care but also by helping to reduce overwhelming case volumes at inpatient facilities. While outpatient protocols have been designed for an increasing number of surgical procedures, the inpatient to outpatient transition of surgery remains limited by both procedure type and patient comorbidities. This limitation stems in part from the heavy emphasis on accelerated discharge following outpatient procedures, given that prolonged recovery time is associated with delayed turnover and increased nursing care demands. Since its inception, enhanced recovery after surgery (ERAS) has aimed to primarily reduce the disruption of physiologic homeostasis that occurs secondary to surgery. More recently, the aim of ERAS has evolved to help transition inpatient procedures to outpatient settings and may even be useful in more emergent cases. It should be noted, however, that outpatient surgery even in combination with ERAS is not the best option for all patients, and the use of ERAS protocols should be complemented with predictive assessments of patient risk. Beyond augmenting the efficiency of outpatient surgery, ERAS protocols, when used in eligible patients and especially when combined with regional anesthetic techniques, are effective in delivering opioid-sparing pain management while increasing overall outcomes and patient satisfaction rates.

show abstract

“…Furthermore, none of the studies on patients undergoing elective craniotomy surgery have discussed the importance of evaluating adherence to the ERAS protocol. 22 , 23 , 24 …”

Section: Introductionmentioning

confidence: 99%

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

Kaewborisutsakul

Kitsiripant

Kaewsridam

et al. 2023

World Neurosurgery: X

View full text Add to dashboard Cite

Identifying Components Necessary for an Enhanced Recovery After Surgery Pathway for Elective Intracranial Surgery: An Improvement Project Using the Quality of Recovery-15 Score

Cited by 8 publications

References 29 publications

Effect of intraoperative dexmedetomidine on early postoperative quality of recovery in patients undergoing endoscopic transsphenoidal surgery for non-functioning pituitary adenoma: a randomized controlled trial

Effect of intraoperative dexmedetomidine on early postoperative quality of recovery in patients undergoing endoscopic transsphenoidal surgery for non-functioning pituitary adenoma: a randomized controlled trial

Maximization of Non-Opioid Multimodal Analgesia in Ambulatory Surgery Centers

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

Contact Info

Product

Resources

About