Initiation of a Critical Pathway for Pancreaticoduodenectomy at an Academic Institution—the First Step in Multidisciplinary Team Building

Impact of clinical pathways in surgery

“…Most studies are focusing on one single operation and on length of hospital stay [6][7][8][9][10][11][12][13][14][15] ( Table 4). Costs were only analyzed with the help of general model calculations and resource utilization was not analyzed in detail [22][23][24].…”

“…In surgery, the impact of clinical pathways on resource utilization remains unclear. A few studies are available, but are restricted to a single procedure, and cost analyses are mainly based on the length of hospital stay [6][7][8][9][10][11][12][13][14][15] (see Table 4). Most studies come from the US [16] and two thirds of studies on clinical pathways were classified as of low quality [17].…”

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

“…The ERAS group has published evidencebased consensus recommendations for colorectal surgery [2,3]. Beneficial experiences with clinical pathway programmes after pancreaticoduodenectomy (PD, Whipple's procedure) have been published [4][5][6][7][8][9], but the reported series employed different protocols, or no prospective protocol at all [6]. A comprehensive consensus framework is presented on which to base a future protocol for optimal perioperative care after PD.…”

Inter-device differences in monitoring for goal-directed fluid therapy

“…The results of this undertaking are the Enhanced Recovery After Surgery (ERAS) protocols we know today (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14] All ERAS protocols typically share the following features:…”