A Fast-Track Pathway for Emergency General Surgery at an Academic Medical Center

Fazzalari, Amanda; Srinivas, Shruthi; Panjwani, Suraj; Pozzi, Natalie; Friedrich, Ann-Kristin U.; Sheoran, Reeti; Sabato, Joseph; Durocher, Dawn; Reznek, Martin A.; Aiello, Francesco; Litwin, Demetrius E. M.; Cahan, Mitchell A.

doi:10.1016/j.jss.2021.04.012

Cited by 5 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FTS refers to the application of various methods that have been proven effective by evidence-based medicine before, during, and after surgery to reduce surgical stress and complications and accelerate postoperative recovery ( 18 , 19 ). FTS as a new treatment concept has achieved great success in the fields of general surgery, gynecology, and urology, and in recent years, FTS has gradually been widely used in the clinical treatment of thyroid cancer, resulting in faster postoperative recovery and significantly shorter hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Rehabilitation Efficacy and Nutritional Status of Patients After Endoscopic Radical Thyroidectomy by Fast Track Surgery Based on Nutritional Support

Liu

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveTo investigate and analyze the effect of fast track surgery (FTS) based on nutritional support on the improvement of rehabilitation efficacy and nutritional status of patients after radical lumpectomy for thyroid cancer.MethodsEighty-six patients admitted to our hospital for radical lumpectomy for thyroid cancer between April 2018 and April 2021 were selected, of which 40 patients admitted between April 2018 and April 2019 were included in the control group with conventional perioperative care. Forty-six patients admitted between May 2019 and April 2021 were included in the trial group with FTS care based on nutritional support. The two groups of patients were compared in terms of postoperative feeding time, length of stay, time out of bed, VAS scores, albumin (ALB), total protein (TP) and prealbumin (PA) levels, negative emotions [Mental Health Test Questionnaire (DCL-90)], quality of life [General Quality of Life Inventory (GQOLI-74)] and complication rates.ResultsThe patients in the trial group had shorter feeding time, hospitalization time and time out of bed than the control group (P < 0.05). After the intervention, ALB, TP and PA levels were higher in the trial group than in the control group vs. preoperatively (P < 0.05); VAS scores in the trial group were lower than VAS scores in the control group during the same period (P < 0.05). The postoperative DCL-90 scores of the trial group were lower than those of the control group (P < 0.05); the GQOLI-74 scores and total scores of the trial group were higher than those of the control group at the 3-month postoperative follow-up (P < 0.05). The overall incidence of complications such as hoarseness, choking on water, hand and foot numbness, wound infection, and hypocalemia was lower in the trial group than in the control group (P < 0.05).ConclusionThe implementation of FTS care based on nutritional support for patients after endoscopic radical thyroidectomyr can effectively improve the postoperative recovery and reduce their pain level, as well as help improve their nutritional status, negative emotions and improve their quality of life, which is worth promoting.

show abstract

Section: Discussionmentioning

confidence: 99%

Analysis of the Rehabilitation Efficacy and Nutritional Status of Patients After Endoscopic Radical Thyroidectomy by Fast Track Surgery Based on Nutritional Support

Liu

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…It is an evidence-based medical approach using surgery, anesthesia, care, nutrition, and cooperation with other departments to optimize the perioperative management of the clinical pathway so as to alleviate perioperative stress reactions, reduce postoperative complications, shorten the length of stay, and promote the recovery of patients ( 22 , 23 ). With the development of the FTS concept, PE repair has evolved from the traditional Ravitch sternal elevation to thoracoscopic-assisted Nuss minimally invasive repair ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Retrospectively analyze and compare the efficacy and safety of thoracoscopic-assisted Nuss repair of pectus excavatum under intubation anesthesia and non-intubation anesthesia

Liu¹,

Cui²,

Li³

et al. 2022

J Thorac Dis

View full text Add to dashboard Cite

Background: Thoracoscopic-assisted Nuss repair is a commonly used method for treating pectus excavatum, which has always been performed under tracheal intubation and general anesthesia. However, general anesthesia with endotracheal intubation can produce intubation and anesthetic drug related complications. In non-intubation anesthesia, laryngeal mask is used instead of tracheal intubation without muscle relaxants and small doses of sedative and analgesic drugs. Therefore, non-intubation anesthesia can reduce complications and speed up postoperative recovery. This study retrospectively analyzed the clinical impact of these two anesthesia methods on thoracoscopic-assisted Nuss repair for the treatment of pectus excavatum.Methods: A total of 115 pectus excavatum patients who underwent thoracoscopic-assisted Nuss procedure repair in the Department of Thoracic Surgery of Yunnan First People's Hospital from January 2017 to January 2022 were included. All subjects in this study underwent thoracoscopic assisted Nuss repair in the same thoracic surgical team. According to different anesthesia methods, they were divided into non-intubation anesthesia group (n=62) and intubation anesthesia group (n=53). The intubation time, intraoperative mean heart rate, postoperative complications, postoperative first oral food intake, water intake, ambulation, defecation time, postoperative blood drawing results, postoperative hospital stay and total hospitalization cost were compared between the two groups.Results: There were no significant differences in clinical characteristics and preoperative examination indexes between the two groups, which were comparable. Compared with the intubation anesthesia group, the non-intubation anesthesia group had less anesthesia intubation time, lower intraoperative mean heart rate, less postoperative complications, such as pneumothorax, pleural effusion, and lung infection. In the non-intubation anesthesia group, the first time to eat, drink, get out of bed, and defecate were all earlier.

show abstract

Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis

McKechnie,

Tessier,

Archer

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

A Fast-Track Pathway for Emergency General Surgery at an Academic Medical Center

Cited by 5 publications

References 23 publications

Analysis of the Rehabilitation Efficacy and Nutritional Status of Patients After Endoscopic Radical Thyroidectomy by Fast Track Surgery Based on Nutritional Support

Analysis of the Rehabilitation Efficacy and Nutritional Status of Patients After Endoscopic Radical Thyroidectomy by Fast Track Surgery Based on Nutritional Support

Retrospectively analyze and compare the efficacy and safety of thoracoscopic-assisted Nuss repair of pectus excavatum under intubation anesthesia and non-intubation anesthesia

Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis

Contact Info

Product

Resources

About