Anaesthetic regimens for day-procedure laparoscopic cholecystectomy

Vaughan, J. G.; Nagendran, Myura; Cooper, J.; Davidson, Brian R; Gurusamy, Kurinchi Selvan

doi:10.1002/14651858.cd009784.pub2

Cited by 17 publications

(13 citation statements)

References 56 publications

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“…In developed countries, approximately 15% of asymptomatic adults from the general population have gallstones, and nearly 10% of these individuals develop symptoms or complications requiring treatment within five years [ 12 ]. Cholecystectomy is the golden standard in treating symptomatic gallbladder disease, such as acute cholecystitis [ 12 ]. In Denmark, about 9000 cholecystectomies are performed annually, and 93% of these are performed as laparoscopic procedures [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…In Denmark, about 9000 cholecystectomies are performed annually, and 93% of these are performed as laparoscopic procedures [ 13 ]. Currently, about 40% of the laparoscopic cholecystectomies are performed as ambulatory surgery [ 13 ], and approximately 15% of the ambulatory patients cannot be discharged on the day of the surgery most often due to pain or postoperative nausea and vomiting (PONV) [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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Erector Spinae Plane Block for Elective Laparoscopic Cholecystectomy in the Ambulatory Surgical Setting

Hannig

Jessen

Soni

et al. 2018

Case Reports in Anesthesiology

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Postoperative pain after laparoscopic cholecystectomy can be severe. Despite multimodal analgesia regimes, administration of high doses of opioids is often necessary. This can further lead to several adverse effects such as drowsiness and respiratory impairment as well as postoperative nausea and vomiting. This will hinder early mobilization and discharge of the patient from the day surgery setting and is suboptimal in an Early Recovery after Surgery setting. The ultrasound-guided Erector Spinae Plane (ESP) block is a novel truncal interfascial block technique providing analgesia of the thoracic or abdominal segmental innervation depending on the level of administration. Local anesthetic penetrates anteriorly presumably through the costotransverse foramina to the paravertebral space. We demonstrate the analgesic efficacy of the ESP block in a case series of three patients scheduled for ambulatory laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for Elective Laparoscopic Cholecystectomy in the Ambulatory Surgical Setting

Hannig

Jessen

Soni

et al. 2018

Case Reports in Anesthesiology

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“…Many of these included primary studies with a high and/or unclear risk of bias. One example, a systematic review of anaesthetic regimens for day‐procedure laparoscopic cholecystectomy, included eleven trials, all at high risk of bias . The review's authors concluded that well‐designed clinical trials at low risk of bias were needed to determine the optimal anaesthetic regimen for this procedure.…”

Section: Introductionmentioning

confidence: 99%

Risk of bias and methodological appraisal practices in systematic reviews published in anaesthetic journals: a meta-epidemiological study

et al. 2016

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SummaryThe validity of primary study results included in systematic reviews plays an important role in drawing conclusions about intervention effectiveness and carries implications for clinical decision-making. We evaluated the prevalence of methodological quality and risk of bias assessments in systematic reviews published in the five highest-ranked anaesthesia journals since 2007. The initial PubMed search yielded 315 citations, and our final sample after screening consisted of 207 systematic reviews. One hundred and seventy-four reviews conducted methodological quality/risk of bias analyses. The Jadad scale was most frequently used. Forty-four of the 83 reviews that included high risk of bias studies re-analysed their data omitting these trials: 20 showed differences in pooled effect estimates. Reviews containing a greater number of primary studies evaluated quality less frequently than smaller reviews. Overall, the majority of reviews evaluated bias; however, many applied questionable methods. Given the potential effects of bias on summary outcomes, greater attention is warranted.

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“…The anesthesia professional arrives to assess the patient, discuss the plan to use general anesthesia for the procedure, and explain that use of anesthesia ensures the patient's lack of awareness of the surgery, reduces pain, and minimizes nausea. 5 The anesthesia professional and RN circulator transport the patient to the OR and help the patient move to the OR bed. After inducing anesthesia, the anesthesia professional administers muscle relaxants to the patient to optimize surgical visualization and improve surgical access.…”

mentioning

confidence: 99%

“…After inducing anesthesia, the anesthesia professional administers muscle relaxants to the patient to optimize surgical visualization and improve surgical access. 5 The RN circulator completes perioperative skin antisepsis. The surgeon creates four port sites (ie, small keyhole incisions each approximately 1.5 cm in length) 6 and fills the patient's abdominal cavity with carbon dioxide (CO 2 ) via an insufflator to improve visualization and allow easier access to target areas.…”

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confidence: 99%

Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

Brenner¹,

Kautz²

2015

AORN Journal

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Elective laparoscopic cholecystectomies are common outpatient surgical procedures. After briefly discussing cholecystectomy and its indications, best practices in phase I, phase II, and phase III recovery are discussed. Typical pharmaceutical regimens for controlling pain and postoperative nausea and vomiting are summarized. By implementing best practices, nurses can prevent and recognize complications. The criteria for discharge, extended recovery, and inpatient admission are discussed, along with the required patient discharge teaching using the teach-back technique, as well as patient and family teaching needs in the immediate postoperative period. Nurses can optimize the patient's surgical experience and promote safety by implementing best practices in all phases of recovery from laparoscopic cholecystectomy.

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Anaesthetic regimens for day-procedure laparoscopic cholecystectomy

Cited by 17 publications

References 56 publications

Erector Spinae Plane Block for Elective Laparoscopic Cholecystectomy in the Ambulatory Surgical Setting

Erector Spinae Plane Block for Elective Laparoscopic Cholecystectomy in the Ambulatory Surgical Setting

Risk of bias and methodological appraisal practices in systematic reviews published in anaesthetic journals: a meta-epidemiological study

Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

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