Comparison of perioperative patient comfort with 'enhanced recovery after surgery (ERAS) approach' versus 'traditional approach' for elective laparoscopic cholecystectomy

Udayasankar, Madhumita; Udupi, Sandesh; Shenoy, Anitha

doi:10.4103/ija.ija_782_19

Cited by 32 publications

(16 citation statements)

References 20 publications

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“…Due to its comprehensive postoperative benefits, preoperative carbohydrate drink is now integral to enhanced recovery after surgery protocol for fast-track surgeries. 12 We observed significantly lower post-spinal ischaemic ECG changes in the ORS group. None of the patients in either group complained of notable anginal symptoms, and ECG changes also reverted within an hour of SA induction.…”

Section: Discussionmentioning

confidence: 55%

Role of Preoperative Oral Rehydration Solution on Myocardial Ischaemia During Orthopaedic Surgery under Spinal Anaesthesia: A Prospective Randomised Study

MJ,

Jain,

Gupta

et al. 2023

TJAR

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Main Points• Preoperative oral rehydration solution supplementation significantly reduced the post-spinal ischemic electrocardiographic (ECG) changes compared to conventional overnight fasting in elderly patients undergoing elective lower limb orthopaedic surgery under spinal anaesthesia (SA).• It was coherent with unstable haemodynamics and abnormal perfusion parameters at the same intraoperative time points.• No patient complaint of notable anginal symptoms and the underlying ischaemic ECG changes also reverted within an hour of SA induction.• The threshold fasting duration of >3 hours for oral fluids had an area-under-curve of 0.74 to predict ischaemic ECG changes within 30 minutes of SA induction.

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Section: Discussionmentioning

confidence: 55%

Role of Preoperative Oral Rehydration Solution on Myocardial Ischaemia During Orthopaedic Surgery under Spinal Anaesthesia: A Prospective Randomised Study

MJ,

Jain,

Gupta

et al. 2023

TJAR

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“…Tramadol is metabolised to an active O-desmethyl metabolite which is responsible for these side effects. [ 8 18 19 ] Several authors have observed an increased incidence of PONV and sedation with tramadol. [ 4 9 ] Sedation was observed in six patients in tramadol group and none in tapentadol group ( P = 0.027) in this study; nevertheless, tapentadol appears to have a better central nervous system and gastrointestinal tolerability profile owing to lack of significant serotonergic activity.…”

Section: Discussionmentioning

confidence: 99%

Comparison between pre-emptive oral tramadol and tapentadol for attenuation of catheter-related bladder discomfort and surgical stress response in patients undergoing transurethral resection of prostate: A prospective, randomised, double-blind trial

Kumar¹,

Bindal²,

Oberoi³

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Surgical interventions involving urinary catheterisation often lead to catheter-related bladder discomfort (CRBD). With a very high incidence rate of 47%–90%, CRBD often leads to a distressing and painful recovery after surgery. Although many opioids have been used for the treatment of CRBD, the search for the best is still going on. This study investigated the efficacy and tolerability of oral tapentadol and tramadol on postoperative CRBD. Methods: This was a prospective, randomised double-blind study. 100 patients, undergoing transurethral resection of the prostate were randomly assigned into two groups to receive tramadol 100 mg (Group A) or tapentadol 50 mg (Group B) orally 1 h before surgery. CRBD was evaluated on a 4-point severity scale in the post-operative area at 0, 0.5, 1, 2, 3, 4, 5 and 6 h. Pain and adverse effects were assessed postoperatively. Serum cortisol levels before and after the procedure were noted. Statistical analysis was done with the analysis of variance, t test. Results: Postoperative CRBD, 2 h after surgery was significantly reduced in group B than group A ( P = 0.012). Cortisol levels, postoperatively were significantly lower in Group B (113 ± 65.45) ( P = 0.001) than group A (162.64 ± 118.84 ng/dL). Dry mouth was seen in four, nausea in eight and sedation in six patients in group A while none in group B. 14 patients in Group A and one patient in Group B needed intravenous paracetamol ( P = 0.000). Conclusions: Premedication with tapentadol was more effective in reducing CRBD and pain postoperatively. The surgical stress response and side effects were significantly reduced with tapentadol.

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“…Currently, studies on the application of the ERAS protocol in LC have been reported; however, studies regarding its application to elderly patients with acute cholecystitis remain lacking. [4] Therefore, this study aimed to observe the safety, efficacy, and feasibility of the ERAS protocol, compared with traditional perioperative management, in elderly patients who are undergoing emergency LC surgery for acute cholecystitis. Medicine…”

Section: Introductionmentioning

confidence: 99%

The enhanced recovery after surgery (ERAS) protocol in elderly patients with acute cholecystitis: A retrospective study

Zhao

et al. 2023

Medicine

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Enhanced recovery after surgery (ERAS) protocol is a perioperative management theory aimed at reducing the injury of surgical patients and accelerating postoperative recovery. It has been widely recognized and applied in elective surgery. This study aimed to evaluate the clinical value of the ERAS protocol during the perioperative period of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. This study aimed to evaluate the clinical value of the ERAS protocol during the perioperative period of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. We collected medical data from 126 elderly patients with acute cholecystitis from October 2018 to August 2021. Among the 126 patients, 70 were included in the ERAS group and 56 in the traditional group. We analyzed the clinical data and postoperative indicators of the 2 groups. No significant differences were observed regarding the general characteristics of the 2 groups ( P > .05). The ERAS group had significantly earlier time to first flatus, time to first ambulation, and time to solid intake, compared with the traditional group ( P < .001); additionally, the ERAS group had significantly shorter stay and gentler feeling of postoperative pain ( P < .001). Furthermore, the ERAS group had significant incidences of lower postoperative lung ( P = .029) and abdominal cavity infection ( P = .025) compared to the traditional group. No significant difference was observed regarding the incidences of other postoperative complications between the 2 groups ( P > .05). The ERAS protocol helps reduce elderly patients’ stress reactions and accelerate postoperative recovery. Thus, it is effective and beneficial to implement the ERAS protocol during the perioperative period of elderly patients with acute cholecystitis.

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Comparison of perioperative patient comfort with 'enhanced recovery after surgery (ERAS) approach' versus 'traditional approach' for elective laparoscopic cholecystectomy

Cited by 32 publications

References 20 publications

Role of Preoperative Oral Rehydration Solution on Myocardial Ischaemia During Orthopaedic Surgery under Spinal Anaesthesia: A Prospective Randomised Study

Role of Preoperative Oral Rehydration Solution on Myocardial Ischaemia During Orthopaedic Surgery under Spinal Anaesthesia: A Prospective Randomised Study

Comparison between pre-emptive oral tramadol and tapentadol for attenuation of catheter-related bladder discomfort and surgical stress response in patients undergoing transurethral resection of prostate: A prospective, randomised, double-blind trial

The enhanced recovery after surgery (ERAS) protocol in elderly patients with acute cholecystitis: A retrospective study

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