Creating the position of surgical pharmacist in China

Zheng, Zhihua Christoph; Wu, Junyan; Zeng, Yingtong; Wang, Ruolun; Wang, Jinghao; Wang, Yong

doi:10.1136/ejhpharm-2020-002238

Cited by 8 publications

(3 citation statements)

References 3 publications

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“…3 showed that the pharmacokinetic characteristics of the five components are different between normal and acute liver injury rats after oral administration of RhRR and RhRR-EuS decoction, and there were double peaks in different degrees, so it is difficult to compare the parameters. Therefore, we chose the non-compartmental model to analyze the main parameters of each group truly and objectively ( Hughes et al, 2019 , Zheng et al, 2020 ), and the parameters were shown in Table 4 . It was found that the bioavailability of rhein was the highest in all groups, and the AUC and C max of most groups after oral RhRR-EuS were higher than those after oral Rh, indicating that the combination of RhRR-EuS could promote the absorption of five free anthraquinones, especially rhein.…”

Section: Resultsmentioning

confidence: 99%

Effect of Rhei Radix et Rhizoma and Eupolyphaga Steleophaga on liver protection mechanism based on pharmacokinetics and metabonomics

Feng,

Bi,

Jin

et al. 2024

Chinese Herbal Medicines

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Section: Resultsmentioning

confidence: 99%

Effect of Rhei Radix et Rhizoma and Eupolyphaga Steleophaga on liver protection mechanism based on pharmacokinetics and metabonomics

Feng,

Bi,

Jin

et al. 2024

Chinese Herbal Medicines

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“…In 2015, the Guangdong Province Pharmaceutical Association (GDPA) first proposed the concept of a “surgical pharmacist” in China. In 2018, the GDPA officially applied to create the position of surgical pharmacist [ 15 , 16 ]. Then, in 2019, through our unremitting effort, the consensus of medical experts on the management of perioperative medication therapy in ERAS in China was published [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical Pharmacy for Optimizing Medication Therapy Management Services within Enhanced Recovery after Surgery (ERAS®) Programs

Xie

Huang

Gao

et al. 2023

JCM

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Drug-related problems (DRPs) are common among surgical patients, especially older patients with polypharmacy and underlying diseases. DRPs can potentially lead to morbidity, mortality, and increased treatment costs. The enhanced recovery after surgery (ERAS) system has shown great advantages in managing surgical patients. Medication therapy management for surgical patients (established as “surgical pharmacy” by Guangdong Province Pharmaceutical Association (GDPA)) is an important part of the ERAS system. Improper medication therapy management can lead to serious consequences and even death. In order to reduce DRPs further, and promote the rapid recovery of surgical patients, the need for pharmacists in the ERAS program is even more pressing. However, the medication therapy management services of surgical pharmacy and how surgical pharmacists should participate in ERAS programs are still unclear worldwide. Therefore, this article reviews the main perioperative medical management strategies and precautions from several aspects, including antimicrobial agents, antithrombotic agents, pain medication, nutritional therapy, blood glucose monitoring, blood pressure treatment, fluid management, treatment of nausea and vomiting, and management of postoperative delirium. Additionally, the way surgical pharmacists participate in perioperative medication management, and the relevant medication pathways are explored for optimizing medication therapy management services within the ERAS programs. This study will greatly assist surgical pharmacists’ work, contributing to surgeons accepting that pharmacists have an important role in the multidisciplinary team, benefitting medical workers in treating, counseling, and advocating for their patients, and further improving the effectiveness, safety and economy of medication therapy for patients and promoting patient recovery.

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“…Postoperative pain management is one of the key members of surgical pharmacy ( Zheng et al, 2020a ; Wang et al, 2023 ; Zheng et al, 2023 ). Postoperative pain is the acute pain that occurs immediately after surgery.…”

Section: Introductionmentioning

confidence: 99%

Evaluating clinical pharmacists’ involvement in postoperative acute pain services: a multicenter survey in Guangdong Province, China

Lu,

Chen,

et al. 2023

Front. Pharmacol.

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Objective: Postoperative pain management is an important part of surgical pharmacy. Postoperative acute pain services in China are in their initial stages. This survey aimed to investigate the attitudes, involvement, and knowledge of clinical pharmacists in China regarding postoperative acute pain services. The results can provide valuable information to guide clinical pharmacists in developing targeted strategies to improve their postoperative acute pain service capabilities.Methods: A questionnaire was distributed to the pharmacy departments of 133 grade A tertiary hospitals in Guangdong province, and the responses were collected electronically.Results: 123 completed questionnaires were collected from clinical pharmacists. Although 95.93% of clinical pharmacists believed they should participate in postoperative pain services, only 62.6% reported substantial involvement. Overall satisfaction with the postoperative pain service was 93.5%. Understanding of non-steroidal anti-inflammatory drugs and opioid analgesics by clinical pharmacists was comparable (p > 0.05). Furthermore, 98.37% of clinical pharmacists desired systematic learning in postoperative pain management, and 40.65% expressed a strong need.Conclusion: Clinical pharmacists in China demonstrate a positive attitude toward participating in postoperative acute pain services. However, the actual level of involvement was concerning, and the lack of systematic training and well-established work protocols may be contributing factors. Efforts should be made to establish comprehensive and standardized processes and work protocols for postoperative acute pain services and provide systematic and hierarchical professional training to enhance clinical pharmacists’ capabilities in postoperative acute pain services.

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Creating the position of surgical pharmacist in China

Cited by 8 publications

References 3 publications

Effect of Rhei Radix et Rhizoma and Eupolyphaga Steleophaga on liver protection mechanism based on pharmacokinetics and metabonomics

Effect of Rhei Radix et Rhizoma and Eupolyphaga Steleophaga on liver protection mechanism based on pharmacokinetics and metabonomics

Surgical Pharmacy for Optimizing Medication Therapy Management Services within Enhanced Recovery after Surgery (ERAS®) Programs

Evaluating clinical pharmacists’ involvement in postoperative acute pain services: a multicenter survey in Guangdong Province, China

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