Life and death of the nasogastric tube in elective colonic surgery in the Netherlands

Jottard, Katleen; Hoff, Christiaan; Maessen, J.; Ramshorst, Bert van; Berlo, C.L.H. van; Logeman, F; Dejong, C.H.C.

doi:10.1016/j.clnu.2008.09.002

Cited by 21 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Uptake of innovations and compliance to recommendations may lag many years behind published evidence, sometimes requiring a nationwide initiative to get rid of a trusted but deleterious companion, like the routine use of a nasogastric tube3, 224. Indeed, dissemination of innovation in healthcare can be a daunting task.…”

Section: Discussionmentioning

confidence: 99%

Contemporary perioperative care strategies

Adamina

Gié

Demartines

et al. 2013

Journal of British Surgery

View full text Add to dashboard Cite

Background: Historically, the preoperative and postoperative care of patients with gastrointestinal cancer was provided by surgeons. Contemporary perioperative care is a truly multidisciplinary endeavour with implications for cancer-specific outcomes.Methods: A literature review was performed querying PubMed and the Cochrane Library for articles published between 1966 to 2012 on specific perioperative interventions with the potential to improve the outcomes of surgical oncology patients. Keywords used were: fast-track, enhanced recovery, accelerated rehabilitation, multimodal and perioperative care. Specific interventions included normothermia, hyperoxygenation, surgical-site infection, skin preparation, transfusion, non-steroidal anti-inflammatory drugs, thromboembolism and antibiotic prophylaxis, laparoscopy, radiotherapy, perioperative steroids and monoclonal antibodies. Included articles had to be randomized controlled trials, prospective or nationwide series, or systematic reviews/meta-analyses, published in English, French or German.Results: Important elements of modern perioperative care that improve recovery of patients and outcomes in surgical oncology include accelerated recovery pathways, thromboembolism and antibiotic prophylaxis, hyperoxygenation, maintenance of normothermia, avoidance of blood transfusion and cautious use of non-steroidal anti-inflammatory drugs, promotion of laparoscopic surgery, chlorhexidine-alcohol skin preparation and multidisciplinary meetings to determine multimodal therapy.Conclusion: Multidisciplinary management of perioperative patient care has improved outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Contemporary perioperative care strategies

Adamina

Gié

Demartines

et al. 2013

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

“…The Maastricht group had the opportunity to work with CBO (Centraal Begeleidings Orgaan, Dutch Institute for Healthcare Improvement, Utrecht, the Netherlands), a government‐led organization specializing in change management in healthcare on an implementation program. Taking advantage of the insights from the rest of the ERAS group, the protocol, the multiprofessional approach, and the use of data, they showed that indeed it was possible to have several units change long‐lasting outdated habits and get better results 8 – 10 …”

Section: Short History Of Erasmentioning

confidence: 99%

ERAS—Enhanced Recovery After Surgery

Ljungqvist

2014

J Parenter Enteral Nutr

277

100

View full text Add to dashboard Cite

ERAS is the acronym for enhanced recovery after surgery, a term often used to describe perioperative care programs that have been shown to improve outcomes after major surgery. This article gives a brief history of the development from fast-track surgery to ERAS. Today, the full meaning of ERAS goes beyond just a protocol for perioperative care with the initiation of a novel multiprofessional, multidisciplinary medical society: the Enhanced Recovery After Surgery Society for Perioperative Care (www.erassociety.org). The ERAS Society is involved in the development of evidence-based guidelines. These guidelines form the basis for an implementation program of the ERAS principles to practice. While ERAS was initially developed for colonic resections, these principles are being used in a range of operations, and there is also a continuous update of care protocols as the fields develop. A key mechanism behind the effectiveness of ERAS is the dampening of the stress responses to the surgical insult combined with the use of treatments that support return of functions that delay recovery in traditional care. The article also gives some insights to why the protocols work and reports the effects of ERAS protocols.

show abstract

“…Gastroesophageal reflux is increased during laparotomy if nasogastric tubes are inserted [77]. A recent meta-analysis of randomised trials including 1,416 patients undergoing colorectal surgery showed that pharyngolaryngitis and respiratory infection occurred less frequently if postoperative nasogastric decompression was avoided but that vomiting was more common if a nasogastric tube was inserted in 15 % of subjects [78] In a Dutch study with [2,000 patients found that the use of nasogastric decompression after elective colonic surgery declined from 88 to 10 % without increases in patient morbidity or mortality [79]. There is no rationale for routine insertion of a nasogastric tube during elective colorectal surgery except to evacuate air that may have entered the stomach during ventilation by the facial mask prior to endotracheal intubation.…”

Section: Nasogastric Intubationmentioning

confidence: 99%

Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Nygren¹,

Thacker²,

Carli³

et al. 2012

World j. surg.

1,048

467

View full text Add to dashboard Cite

Background This review aims to present a consensus for optimal perioperative care in rectal/pelvic surgery, and to provide graded recommendations for items for an evidenced-based enhanced recovery protocol. Methods Studies were selected with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group. Results For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of goodquality trials (evidence grade: high or moderate).

show abstract

Life and death of the nasogastric tube in elective colonic surgery in the Netherlands

Cited by 21 publications

References 10 publications

Contemporary perioperative care strategies

Contemporary perioperative care strategies

ERAS—Enhanced Recovery After Surgery

Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Contact Info

Product

Resources

About

Life and death of the nasogastric tube in elective colonic surgery in the Netherlands

Cited by 21 publications

References 10 publications

Contemporary perioperative care strategies

Contemporary perioperative care strategies

ERAS—Enhanced Recovery After Surgery

Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Contact Info

Product

Resources

About

Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations