Pain with no gain? The impact of thoracic epidurals on an enhanced recovery program for open gynecologic surgery

Abstract Aim Aim of the study is closing the audit loop on knowledge of colorectal Enhanced Recovery Program (ERP) among newly joined junior doctors in a general district hospital. Original audit showed shortage of awareness and knowledge among newly joined junior doctors. The recommendation was educating them regarding ERP and re-auditing. Method Education through a 30-minute power point presentation, on colorectal ERP, was done among newly joined junior doctors. This was followed by a 12-point questionnaire for testing the knowledge of colorectal ERP protocol among 5 newly joined junior doctors (Senior House Officers, Foundation year 2 and Foundation year 1) in our surgical department in August 2020. Results The responses showed an increase in doctors’ knowledge to 90 % (re-audit) from 52.9% (original audit). An increase of about 40% in their knowledge. The average score of their knowledge was 10.8/12 (90 %). One doctor (20 %) scored 12 out of 12 (12/12), two (40 %) scored 11/12 and two (40 %) scored 10/12. Conclusions The study showed that education of newly joined junior doctors resulted in a substantial improvement in their level of knowledge of colorectal ERP, almost up to the local hospital guidelines target (100 %). The study recommends this education to be an integral part of their induction program not only locally but also nationwide. It highlights the impact of education on colorectal ERP implementation.

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A Randomized Controlled Trial Examining the Impact of an Anorectal Surgery Multimodal Enhanced Recovery Program on Opioid Use

Annals of Surgery ◽

10.1097/sla.0000000000004701 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Thais Reif de Paula ◽

Samantha K. Nemeth ◽

Paul Kurlansky ◽

Hillary L. Simon ◽

Lydia L. Miller ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Enhanced Recovery ◽

Controlled Trial ◽

Opioid Use ◽

Anorectal Surgery ◽

Randomized Controlled ◽

Enhanced Recovery Program ◽

Recovery Program ◽

The Impact

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Bowel procedures during gynecologic surgery on an enhanced recovery program (ERP): Are perioperative outcomes compromised?

Gynecologic Oncology ◽

10.1016/j.ygyno.2017.03.142 ◽

2017 ◽

Vol 145 ◽

pp. 58-59

Author(s):

G. Salvo ◽

M.D. Iniesta ◽

J.D. Lasala ◽

L.A. Meyer ◽

M.F. Munsell ◽

...

Keyword(s):

Enhanced Recovery ◽

Perioperative Outcomes ◽

Gynecologic Surgery ◽

Enhanced Recovery Program ◽

Recovery Program

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Impact of implementation of an enhanced recovery program in gynecologic surgery on healthcare costs

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2019.07.039 ◽

2020 ◽

Vol 222 (1) ◽

pp. 66.e1-66.e9 ◽

Cited By ~ 4

Author(s):

Ross F. Harrison ◽

Yao Li ◽

Alexis Guzman ◽

Brandelyn Pitcher ◽

Andrea Rodriguez-Restrepo ◽

...

Keyword(s):

Healthcare Costs ◽

Enhanced Recovery ◽

Gynecologic Surgery ◽

Enhanced Recovery Program ◽

Recovery Program

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Frauenheilkunde – Gynäkologische Operationen: Modernes perioperatives Management spart Kosten

Gesundheitsökonomie & Qualitätsmanagement ◽

10.1055/a-1189-5079 ◽

2020 ◽

Vol 25 (03) ◽

pp. 124-125

Keyword(s):

Healthcare Costs ◽

Obstet Gynecol ◽

Enhanced Recovery ◽

Enhanced Recovery After Surgery ◽

Perioperatives Management ◽

Gynecologic Surgery ◽

Enhanced Recovery Program ◽

Recovery Program

Harrison RF et al. Impact of implementation of an enhanced recovery program in gynecologic surgery on healthcare costs. Am J Obstet Gynecol 2020; 222: 66.e1–66.e9 Das Konzept des „Enhanced Recovery after Surgery“ (ERAS®) beschreibt eine multimodale perioperative Behandlungsstrategie zur Reduktion der mit chirurgischen Eingriffen einhergehenden physiologischen Belastungen. Auch gynäkologische Patientinnen profitieren hiervon: Sie erleiden seltener Komplikationen, benötigen weniger Analgetika und erholen sich schneller. Welche Kosten verursachen die ERAS-Programme in der Gynäkologie?

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