Evaluation of a continuous improvement programme of enhanced recovery after caesarean delivery under neuraxial anaesthesia

Deniau, Benjamin; Bouhadjari, N.; Faitot, Valentina; Mortazavi, Antoine; Kayem, Gilles; Mandelbrot, Laurent; Keïta, H.

doi:10.1016/j.accpm.2015.11.009

Cited by 24 publications

(27 citation statements)

References 19 publications

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“…Fifty-two percent (52%) were found to be drunk in the postoperatory recovery room; this result was supported by Deniau et al 6 But, it was superior to other studies around 10% to 38%. 1,2,9 But it was less than Cattin et al 5 Deniau et al showed a technical organization defect was the difficult barrier.…”

Section: Discussionsupporting

confidence: 53%

“…7 Multimodal analgesia is administered orally in 48%; against 7% Wyniecki et al 2 Deniau B et al had a higher compliance. 6 Early feeding was the barriers in our study.…”

Section: Discussionmentioning

confidence: 73%

“…1,2,9 But it was less than Cattin et al 5 Deniau et al showed a technical organization defect was the difficult barrier. 6 Early feeding was 45%. 5,6 It was superior to surveys conducted by some authors.…”

Section: Discussionmentioning

confidence: 97%

“…6 Early feeding was 45%. 5,6 It was superior to surveys conducted by some authors. 1,2 Early feeding does not increase the risk of postoperative nausea, vomiting and abdominal distension.…”

Section: Discussionmentioning

confidence: 97%

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Enhanced Recovery after Caesarian Section, Madagascar

Raelison¹,

Rabarikoto²,

Rahanitriniaina³

et al. 2019

IHRJ

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Introduction: Few hospital practice enhanced recovery after caesarian section. Our aims is to evaluate the application of enhanced recovery after caesarian section after implementation in our service. Materials and Methods : An observational audit prospective was conducted, from November 2018 to January 2019, in the complex mother-child Military Hospital, Antsiranana. Patients between 18 to 35 years, ASA 1 or 2 before surgery were included. General anesthesia procedures are excluded. Results: Thirty-one patients were identified. Each received antiotic prophylaxis and prevention of postoperative nausea/ vomiting and intratechal morphine. Fluid infusion was optimized in 18 patients. In post-interventional recovery room, multimodal analgesia were given orally after the intervention in 15 patients (48%), Sixteen (52%) cases drunk. Forty-four patients (45%) ate food four hour after intervention. Stop infusion performed in 13 cases (42%). The bladder catheter removed in 13 patients (42%). The median length of stay was 3.5 days. Conclusion : Early food, removal of the bladder catheter and the infusion stop have low compliance to the protocol. An audit and formation were needed.

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Section: Discussionsupporting

confidence: 53%

“…7 Multimodal analgesia is administered orally in 48%; against 7% Wyniecki et al 2 Deniau B et al had a higher compliance. 6 Early feeding was the barriers in our study.…”

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 97%

“…6 Early feeding was 45%. 5,6 It was superior to surveys conducted by some authors. 1,2 Early feeding does not increase the risk of postoperative nausea, vomiting and abdominal distension.…”

Section: Discussionmentioning

confidence: 97%

See 2 more Smart Citations

Enhanced Recovery after Caesarian Section, Madagascar

Raelison¹,

Rabarikoto²,

Rahanitriniaina³

et al. 2019

IHRJ

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“…ERAS protokolleri idrar sondasının 24 saat içinde çıkarılmasını önerirler. Bir ERAS protokolü olarak sezaryenden 7 saat sonra erken mobilizasyon ile birlikte idrar sondasının çıkarılmasında bir komplikasyon olmamaktadır (48) .…”

Section: Ameliyat Sonrasındaunclassified

Obstetric and Perinatologic Interventions and ERAS

Polat¹

2018

IKSST

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ERAS "Enhanced Recovery After Surgery"nin kısaltılmış hali olup, ERAS programları fonksiyonel iyileşmeyi hızlandırma ve postoperatif sonuçları düzeltme amacı ile kanıta dayalı girişimlerin birlikte kullanıldığı perioperatif protokollerdir. Bu programlar multidisipliner ve multimodal girişimleri içermektedir. Amaç hastaların cerrahi stres tepkilerini azaltmak, postoperatif morbidite ve mortalite ile hastanede kalış süresini kısaltmak ve hastaların cerrahiye ilişkin algılamalarını olumlu yönde etkilemektir. Obstetrikte ve perinatolojide ERAS protokolü deyince, sezaryen şu an için ilk ve tek akla gelen cerrahi girişimdir. ERAS derneği tarafından planlı veya plansız sezaryenden 30-60 dk. öncesinden başlayıp, annenin taburcu olmasına kadar geçen süre için (preoperatif, intraoperatif, postoperatif) sezaryen doğumda ERAS konsensus önerileri ile bir ERAS rehberi oluşturulmuştur. ERAS komponentleri; ön bilgilendirmenin sağlanmasını, iyi perioperatif beslenmeyi ve hidrasyonu, minimal invazif cerrahi teknikleri, normotermiyi sağlama çabalarını, postoperatif bulantı-kusmanın önlenmesini, idrar sondasının erken çıkarılmasını, postoperatif ağrının etkin bir şekilde tedavisini, hızlı mobilizasyonu ve multidisipiner bir ekip tarafından planlanan ve yönetilen koordine bir perioperatif bakımı kapsamaktadır.

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Barriers to and Facilitators of Implementing Enhanced Recovery Pathways Using an Implementation Framework

et al. 2018

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IMPORTANCE Enhanced recovery pathways (ERPs) have the potential to reduce length of hospital stay, costs, and complications following surgery but can be challenging to implement. OBJECTIVE To examine the body of literature on ERPs to assess how authors describe barriers and facilitators of ERP implementation and identify, in aggregate, the best practices that should be considered utilizing the Consolidated Framework for Implementation Research (CFIR) to extract these elements and summarize common barriers and facilitators according to its 5 major domains: (1) intervention characteristics, (2) inner setting, (3) outer setting, (4) characteristics of the individuals, and (5) the process of implementation.EVIDENCE REVIEW A systematic review was conducted in accordance with the PRISMA statement. An ERP was defined as a bundle of multiple perioperative interventions that involve a multidisciplinary team, had a label different than traditional care, and had a formal way of measuring outcomes. Six databases (PubMed, MEDLINE, Cumulative Index to Nursing and Allied Health Literature Complete, Web of Science, PsychINFO, and Cochrane Central Register of Controlled Trials) of articles published from 1990 to November 30, 2016, were searched. Articles that were included had to address barriers and facilitators of ERP implementation and provide sufficient detail that the CFIR domain could be identified. Data were abstracted by 2 independent researchers using a standardized extraction form.FINDINGS The initial search strategy returned 4563 results; 3883 studies were eliminated by screening titles and abstracts, leaving 680 articles for full-text screening. Of these, 53 studies were included in the review. The key facilitating factors were (1) adapting the program to fit local contexts, (2) achieving and demonstrating early "wins," (3) gaining buy-in from both frontline clinicians and hospital leadership, (4) having a strong ERP team that met regularly, and (5) leveraging supporters and full-time ERP staff. The major barriers identified were (1) meeting with resistance to change from frontline clinicians, (2) not having enough resources for implementation, and (3) external factors, such as patient complexity or rural hospital location. CONCLUSIONS AND RELEVANCEMost ERP literature focuses on the efficacy, safety, or cost-effectiveness of these protocols. To promote the spread of ERP programs, more high-quality studies on the implementation process are needed.

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Evaluation of a continuous improvement programme of enhanced recovery after caesarean delivery under neuraxial anaesthesia

Cited by 24 publications

References 19 publications

Enhanced Recovery after Caesarian Section, Madagascar

Enhanced Recovery after Caesarian Section, Madagascar

Obstetric and Perinatologic Interventions and ERAS

Barriers to and Facilitators of Implementing Enhanced Recovery Pathways Using an Implementation Framework

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