BACKGROUND: Although management techniques have been proposed to accelerate gastrointestinal recovery after elective bowel resection (BR), most data are derived from single-institution experience. This study assessed the current state of perioperative care for elective BRs and the effect of pathway components on length of stay. METHODS: A web-based survey was conducted among surgeons regarding their last elective BR. RESULTS: Among 207 general and 200 colorectal surgeons, 30% practice in hospitals with a perioperative surgical care pathway intended to accelerate gastrointestinal recovery. Pathway components included early ambulation, early diet progression, early nasogastric tube removal/avoidance, and opioid-sparing pain control. Care practices associated with decreased length of stay included laparoscopic technique, early mobilization, early liquids, and antiemetic use to prevent symptoms associated with prolonged postoperative ileus. CONCLUSIONS: Few hospitals have pathways but most surgeons likely would implement nationally endorsed guidelines. These data, along with other studies, may lead to well-accepted BR care pathways. Copyright (c) 2010 Elsevier Inc. All rights reserved.
BACKGROUND: Although management techniques have been proposed to accelerate gastrointestinal recovery after elective bowel resection (BR), most data are derived from single-institution experience. This study assessed the current state of perioperative care for elective BRs and the effect of pathway components on length of stay. METHODS: A web-based survey was conducted among surgeons regarding their last elective BR. RESULTS: Among 207 general and 200 colorectal surgeons, 30% practice in hospitals with a perioperative surgical care pathway intended to accelerate gastrointestinal recovery. Pathway components included early ambulation, early diet progression, early nasogastric tube removal/avoidance, and opioid-sparing pain control. Care practices associated with decreased length of stay included laparoscopic technique, early mobilization, early liquids, and antiemetic use to prevent symptoms associated with prolonged postoperative ileus. CONCLUSIONS: Few hospitals have pathways but most surgeons likely would implement nationally endorsed guidelines. These data, along with other studies, may lead to well-accepted BR care pathways. Copyright (c) 2010 Elsevier Inc. All rights reserved.
Authors: Nicoleta O Kolozsvari; Giovanni Capretti; Pepa Kaneva; Amy Neville; Franco Carli; Sender Liberman; Patrick Charlebois; Barry Stein; Melina C Vassiliou; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2012-07-19 Impact factor: 4.584
Authors: Nitin Goyal; Antonia F Chen; Sarah E Padgett; Timothy L Tan; Michael M Kheir; Robert H Hopper; William G Hamilton; William J Hozack Journal: Clin Orthop Relat Res Date: 2017-02 Impact factor: 4.176
Authors: Georgia Herbert; Eileen Sutton; Sorrel Burden; Stephen Lewis; Steve Thomas; Andy Ness; Charlotte Atkinson Journal: BMC Health Serv Res Date: 2017-08-31 Impact factor: 2.655