Current perioperative practice in Canadian vascular surgery

Rockley, Mark; Chu, Kevin Y.; Bayne, Jason

doi:10.1503/cjs.013614

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Its core concept has been used in a variety of perioperative treatments to relieve the physical and psychological stress, including preoperative education, epidural or regional anesthesia, perioperative fluid management, minimally invasive techniques, optimal pain control, early initiation of oral feeding, and mobilization. In recent years, ERAS protocols have been applied to various types of surgery at many institutes worldwide, including gastric, colorectal, gynecologic, vascular, and urologic procedures.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of enhanced recovery after surgery (ERAS) programs in patients undergoing hepatectomy: A prospective randomized controlled trial

Chen

Cao

et al. 2018

Clinical Laboratory Analysis

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Section: Introductionmentioning

confidence: 99%

Safety and efficacy of enhanced recovery after surgery (ERAS) programs in patients undergoing hepatectomy: A prospective randomized controlled trial

Chen

Cao

et al. 2018

Clinical Laboratory Analysis

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“…9 This is in contrast with patterns of care reported in vascular surgery, 5 gyneoncology, 11 and in this survey, where the majority used fasting times exceeding six hours and rarely administered carbohydrate loading. The most recent ERAS guidelines advocate for a regular diet within the first 24 hours.…”

Section: Discussionmentioning

confidence: 59%

Enhanced Recovery After Surgery for Suspected Ovarian Malignancy

Lindemann

Kok

Stockler

et al. 2017

International Journal of Gynecological Cancer

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ObjectivesThe objective of this survey was to review the current standard of perioperative care of patients with suspected advanced ovarian cancer in Australia and New Zealand in order to determine the level of equipoise for specific interventions.MethodsIn May 2016, a web-based questionnaire (SurveyMonkey Inc, Palo Alto, CA) was sent to all gynecologic oncologists in Australia and New Zealand (n = 56). Descriptive statistics were used.ResultsResponse rate was 75%. Prevention of hypothermia, extended thromboembolic prophylaxis, antibiotic prophylaxis, and the avoidance of the routine use of drains were standard of care. Bowel preparation was given by 10% routinely and by 35% when bowel resection was planned. Fasting times for fluids of six hours or more were common (55%). Only 26% had shortened fasting times of two hours. Twelve percent used carbohydrate loading. The majority of patients started a light diet within the first postoperative day and advanced diet subsequently as tolerated. Six respondents (15%) used thoracic epidural, whereas the majority (73%) administered an opioid-based intravenous patient-controlled analgesia as the predominant postoperative analgesia, mainly as part of a multimodal pain management. The majority of respondents expressed an interest in a trial concept of individual ERAS interventions.ConclusionsOnly a minority of ERAS interventions can be considered standard of care in ovarian cancer surgery. The existing level of equipoise among gynecologic oncologists in Australia and New Zealand, and their interest in a trial concept of individual ERAS interventions allows further assessment of the feasibility and efficacy of interventions in a randomized controlled trial.

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