The EAES Clinical Practice Guidelines on the Pneumoperitoneum for Laparoscopic Surgery (2002)

2007 ◽  
pp. 39-85 ◽  
Author(s):  
Jens Neudecker ◽  
Stefan Sauerland ◽  
Edmund A.M. Neugebauer ◽  
Roberto Bergamaschi ◽  
H.Jaap Bonjer ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Laparoscopic Surgery ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines

The EAES Clinical Practice Guidelines on the Evaluation of Quality of Life After Laparoscopic Surgery (2004)

2007 ◽  
pp. 1-38
Author(s):  
Dragan Korolija ◽  
Stefan Sauerland ◽  
Sharon Wood-Dauphinée ◽  
Claude C. Abbou ◽  
Ernst Eypasch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Practice ◽  
Laparoscopic Surgery ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines

Laparoscopic surgery for colorectal cancer: clinical practice guidelines of the Italian Society of Colo-Rectal Surgery

2007 ◽  
Vol 11 (2) ◽  
pp. 97-104 ◽  
Author(s):  
C. A. Sartori ◽  
A. D’Annibale ◽  
G. Cutini ◽  
C. Senargiotto ◽  
D. D’Antonio ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Clinical Practice ◽  
Laparoscopic Surgery ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Rectal Surgery ◽  
Italian Society

scholarly journals Can you trust clinical practice guidelines for laparoscopic surgery? A systematic review of clinical practice guidelines for laparoscopic surgery

2021 ◽  
Author(s):  
Jeffrey Leung ◽  
Jonathan Leong ◽  
Kenneth Au Yeung ◽  
Bo Zhen Hao ◽  
Aled McCluskey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Laparoscopic Surgery ◽  
Confidence Intervals ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Odds Ratio ◽  
Considerable Proportion ◽  
Independent Evaluation ◽  
Independent Assessment

Abstract Background Clinical practice guidelines aim to support clinicians in providing clinical care and should be supported by evidence. There is currently no information on whether clinical practice guidelines in laparoscopic surgery are supported by evidence. Methods We performed a systematic review and identified clinical practice guidelines of laparoscopic surgery published in PubMed and Embase between March 2016 and February 2019. We performed an independent assessment of the strength of recommendation based on the evidence provided by the guideline authors. We used the ‘Appraisal of Guidelines for Research & Evaluation II’ (AGREE-II) Tool’s ‘rigour of development’, ‘clarity of presentation’, and ‘editorial independence’ domains to assess the quality of the guidelines. We performed a mixed-effects generalised linear regression modelling. Results We retrieved 63 guidelines containing 1905 guideline statements. The median proportion of ‘difference in rating’ of strength of recommendation between the guideline authors and independent assessment was 33.3% (quartiles: 18.3%, 55.8%). The ‘rigour of development’ domain score (odds ratio 0.06; 95% confidence intervals 0.01–0.48 per unit increase in rigour score; P value = 0.0071) and whether the strength of recommendation was ‘strong’ by independent evaluation (odds ratio 0.09 (95% confidence intervals 0.06–0.13; P value < 0.001) were the only determinants of difference in rating between the guideline authors and independent evaluation. Conclusion A considerable proportion of guideline statements in clinical practice guidelines in laparoscopic surgery are not supported by evidence. Guideline authors systematically overrated the strength of the recommendation (i.e., even when the evidence points to weak recommendation, guideline authors made strong recommendations).

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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