Application of Enhanced Recovery After Surgery for Congenital Esophageal Atresia During Perioperative Period

2019 ◽  
Author(s):  
Keyword(s):  
Esophageal Atresia ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Perioperative Period ◽  
Congenital Esophageal Atresia

Effect of enhanced recovery after surgery management combined with nano-antibacterial dressing during perioperative nursing practice on rehabilitation of patients with gynecological tumor

2021 ◽  
Vol 11 (7) ◽  
pp. 1064-1070
Author(s):  
Hongping Wang ◽  
Lili Chen ◽  
Peiyang Chen ◽  
Wanwan Huang ◽  
Jianping Wang
Keyword(s):  
Nursing Care ◽  
Health Knowledge ◽  
Enhanced Recovery ◽  
Silver Content ◽  
Enhanced Recovery After Surgery ◽  
Gynecological Cancer ◽  
Self Care ◽  
Perioperative Period ◽  
Regular Group ◽  
Nano Silver

The nano-silver antibacterial dressing is processed and formed after being expanded and cut by medical degreased gauze and nano-silver solution. The nano-silver content is 0.4%–1.0% of the dressing mass (the nano-silver content per square meter of the dressing is 0.28–0.7 g). Nano silver plays an auxiliary role in reducing wound infections. This study is the first to report the rehabilitative effect of enhanced recovery after surgery (ERAS) management combined with nano antibacterial dressing in the perioperative period of gynecological cancer. The times until first exhaust, first defecation, ambulation, and the duration of hospitalization of the ERAS group were shorter than in the regular group. The VAS scores at 6 and 12 h after operation in the ERAS group were lower than those in the regular group. The levels of self-responsibility, self-concept, self-care skills, and health knowledge in the ERAS group were higher than those in the regular group. The total incidence of complications in the ERAS group was 9.09%, which was lower than that in the regular group (23.64%). The level of satisfaction with nursing care in the ERAS group was 98.18%, which was higher than that in the regular group (83.64%). The findings confirmed that ERAS combined with nano antibacterial dressing can promote the rehabilitation of patients, relieve pain, strengthen the self-care ability of patients, reduce the occurrence of complications, and improve satisfaction with nursing care.

The Application of Enhanced Recovery After Surgery and Negative-Pressure Wound Therapy in The Perioperative Period of Elderly Patients With Colorectal Cancer

2020 ◽  
Author(s):  
Hanrong Liu ◽  
Ping Yang ◽  
Song Han ◽  
Yu Zhang ◽  
Hui-ying Zhu
Keyword(s):  
Colorectal Cancer ◽  
Wound Healing ◽  
Negative Pressure ◽  
Wound Dressing ◽  
Readmission Rate ◽  
Negative Pressure Wound Therapy ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Perioperative Period ◽  
Wound Therapy

Abstract Objective: To Explore the perioperative application of enhanced recovery after surgery (ERAS) and negative-pressure wound therapy in the elderly patients with colorectal cancer. Methods: A retrospective clinical data were studied in the patients with colorectal cancer in Department of General Surgery in Shanghai Forth People,s Hospital (from March, 2017 to March, 2019), One hundred and fifty patients with undergoing radical surgery for colorectal cancer were divided into two groups: ERAS group(n=76 cases, accepting ERAS management) and Conventional treatment(CT) group(n=74 cases, accepting traditional treatment),Bleeding in operation, the time of postoperative anal flatus ,number of wound dressing changing, time of wound healing, the length of postoperative hospital stay, readmission rate, postoperative complication, were compared between the two groups. Results: ERAS was associated with less bleeding in operation, less Wound fat liquefaction, less wound dressing changing, less time of wound healing，less time of postoperative anal flatus compare to CT group（P<0.05）; anastomotic fistula、readmission rate is similar in two groups（P>0.05）. Conclusion: The modified ERAS can be safely applied to the perioperative period of elderly colorectal cancer patients and promote recovery; negative-pressure wound therapy is helpful for wound healing and promoting rehabilitation.

scholarly journals The application of enhanced recovery after surgery and negative-pressure wound therapy in the perioperative period of elderly patients with colorectal cancer

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Han-rong Liu ◽  
Ping Yang ◽  
Song Han ◽  
Yu Zhang ◽  
Hui-yin Zhu
Keyword(s):  
Colorectal Cancer ◽  
Wound Healing ◽  
Negative Pressure ◽  
Wound Dressing ◽  
Readmission Rate ◽  
Negative Pressure Wound Therapy ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Perioperative Period ◽  
Wound Therapy

Abstract Objective To Explore the perioperative application of enhanced recovery after surgery (ERAS) and negative-pressure wound therapy in the elderly patients with colorectal cancer. Methods A retrospective clinical data were studied in the patients with colorectal cancer in Department of General Surgery in Shanghai Fourth People,s Hospital (from March, 2017 to March, 2019), One hundred and fifty patients with undergoing radical surgery for colorectal cancer were divided into two groups: ERAS group (n = 76 cases, accepting ERAS management) and Conventional treatment(CT) group (n = 74 cases, accepting traditional treatment), Bleeding in operation, the time of postoperative anal flatus, number of wound dressing changing, time of wound healing, the length of postoperative hospital stay, readmission rate, postoperative complication, were compared between the two groups. Results ERAS was associated with less bleeding in operation, less Wound fat liquefaction, less wound dressing changing, less time of wound healing, less time of postoperative anal flatus compare to CT group (P < 0.05); anastomotic fistula, readmission rate is similar in two groups (P > 0.05). Conclusion The modified ERAS can be safely applied to the perioperative period of elderly colorectal cancer patients and promote recovery; negative-pressure wound therapy is helpful for wound healing and promoting rehabilitation.

scholarly journals Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway

2019 ◽  
Vol 32 (02) ◽  
pp. 114-120 ◽  
Author(s):  
Alyssa Zhu ◽  
Xiaodong Bao ◽  
Aalok Agarwala
Keyword(s):  
Fluid Therapy ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Fluid Management ◽  
Mechanical Bowel Preparation ◽  
Oral Intake ◽  
Perioperative Period ◽  
Current Evidence ◽  
Evidence Based Practices ◽  
Individualized Approach

AbstractFluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase of the perioperative period. Preoperatively, patients should be encouraged to hydrate until 2 hours prior to the induction of anesthesia with a carbohydrate-containing clear liquid. When mechanical bowel preparation is necessary, with modern isoosmotic solutions, fluid repletion is not necessary. Intraoperatively, fluid therapy should aim to maintain euvolemia with an individualized approach. While some patients may benefit from goal-directed fluid therapy, a restrictive, zero-balance approach to intraoperative fluid management may be reasonable. Postoperatively, early initiation of oral intake and cessation of intravenous therapy are recommended.

scholarly journals Enhanced recovery after surgery: anesthesia-related components

2021 ◽  
Vol 64 (12) ◽  
pp. 813-819
Author(s):  
Ah-Reum Cho
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Postoperative Nausea And Vomiting ◽  
Perioperative Period ◽  
Temperature Management ◽  
Multidisciplinary Teams ◽  
Successful Implementation ◽  
Comprehensive Management ◽  
Care Processes ◽  
Essential Components

Background: Enhanced recovery after surgery (ERAS) is a multidisciplinary and multimodal evidence-based approach aimed at improving the recovery of surgical patients. Successful implementation of ERAS protocols requires proper perioperative communication and collaboration among surgeons, anesthesiologists, nurses, and other medical personnel.Current Concepts: The anesthesiologist is the clinical leader responsible for the ERAS program. Preoperative patient evaluation, optimization, and patient education are essential components of the ERAS program. The program also involves preoperative fasting and carbohydrate loading to minimize catabolic effects. Selection of an appropriate anesthetic regimen, fluid and temperature management, avoidance of intra/postoperative nausea and vomiting, and multimodal pain management are the key components of ERAS for which the anesthesiologist is responsible.Discussion and Conclusion: Factors that enable the successful implementation of ERAS include the willingness to change to ERAS, formation of multidisciplinary teams to improve cooperation, and support from the hospital management, as well as standardization of order sets and care processes and the appropriate use of audits. As the leader of the ERAS team, the anesthesiologist should be actively involved in comprehensive management of the patient during the perioperative period.

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