Multimodal temperature management during donor hepatectomy under combined general anaesthesia and neuraxial analgesia: Retrospective analysis

Tandon, Manish; Karna, Sunaina Tejpal; Pandey, Chandra Kant; Chaturvedi, Ravindra; Jain, Priyanka

doi:10.4103/ija.ija_123_18

Cited by 1 publication

(1 citation statement)

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“…There is a lack of studies relating specifically to liver surgery. One meta-analysis of 23 trials comparing warming systems suggested that circulating water-based systems offer better warming than forced air systems [ 177 ] although a recent retrospective study ( n = 50) has used a multimodal approach to temperature management during surgery with good temperature control [ 178 ]. A systematic review of 22 studies has suggested heating insufflated gases in laparoscopic abdominal surgery to maintain body temperature but patient outcomes were not improved [ 179 ].…”

Section: Resultsmentioning

confidence: 99%

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022

et al. 2022

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Background Enhanced Recovery After Surgery (ERAS) has been widely applied in liver surgery since the publication of the first ERAS guidelines in 2016. The aim of the present article was to update the ERAS guidelines in liver surgery using a modified Delphi method based on a systematic review of the literature. Methods A systematic literature review was performed using MEDLINE/PubMed, Embase, and the Cochrane Library. A modified Delphi method including 15 international experts was used. Consensus was judged to be reached when >80% of the experts agreed on the recommended items. Recommendations were based on the Grading of Recommendations, Assessment, Development and Evaluations system. Results A total of 7541 manuscripts were screened, and 240 articles were finally included. Twenty-five recommendation items were elaborated. All of them obtained consensus (>80% agreement) after 3 Delphi rounds. Nine items (36%) had a high level of evidence and 16 (64%) a strong recommendation grade. Compared to the first ERAS guidelines published, 3 novel items were introduced: prehabilitation in high-risk patients, preoperative biliary drainage in cholestatic liver, and preoperative smoking and alcohol cessation at least 4 weeks before hepatectomy. Conclusions These guidelines based on the best available evidence allow standardization of the perioperative management of patients undergoing liver surgery. Specific studies on hepatectomy in cirrhotic patients following an ERAS program are still needed.

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Section: Resultsmentioning

confidence: 99%