Perioperative care: a survey of New Zealand and Australian colorectal surgeons

Kahokehr, Arman; Robertson, Paul B.; Sammour, Tarik; Soop, Mattias; Hill, Andrew

doi:10.1111/j.1463-1318.2010.02453.x

Cited by 46 publications

(31 citation statements)

References 35 publications

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“…Reports of Switzerland and New Zealand are more in line with the recommendations to abandon the practice, with less than half of doctors reporting the use of preparation in colon procedures. However, even in these countries, the use of preparation is common during anorectal surgeries (60-80%) (26)(27) .…”

Section: Discussionmentioning

confidence: 99%

Surgical site infection and its risk factors in colon surgeries

Fusco

Massarico

Alves

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. Method: Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. Results: In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. Conclusion: The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections. DESCRIPTORSSurgical Wound Infection; Colorectal Surgery; Perioperative Nursing. Surgical site infection and its risk factors in colon surgeriesInfecção de sítio cirúrgico e seus fatores de risco em cirurgias de cólon Infección de sitio quirúrgico y sus factores de riesgo en cirugías de colon

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Section: Discussionmentioning

confidence: 99%

Surgical site infection and its risk factors in colon surgeries

Fusco

Massarico

Alves

et al. 2016

Rev. esc. enferm. USP

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“…17,18 A common theme of both these previous surveys and ours is variability in the management of perioperative care. Interestingly, this variability is not always confined to the components of perioperative care that have minimal supporting evidence, and may be attributable to multiple external factors.…”

Section: Discussionmentioning

confidence: 99%

“…These results are contrasted by a survey of general surgeons, who use nasogastric tubes less frequently, and are supported by more robust evidence specific to their specialty. 3,17 The use of both postoperative nasogastric tubes and nonabdominal drains are areas of perioperative management that would therefore benefit from focused research in vascular surgery.…”

Section: Discussionmentioning

confidence: 99%

Current perioperative practice in Canadian vascular surgery

Rockley

Chu

Bayne

2015

cjs

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“…There remained, however, a potential for improvement [43] . In a survey from 2011 in New Zealand and Australia, some, but not all, ERAS interventions were routinely used according to a questionnaire recently distributed to colorectal surgeons [44] . All members of the health care/multidisciplinary team must be included in the repeated educational efforts necessary for successful implementation of the ERAS concept [45] .…”

Section: Adherence To the Eras Protocolmentioning

confidence: 99%

Evidence or eminence in abdominal surgery: Recent improvements in perioperative care

Segelman

Nygren

2014

WJG

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Repeated surveys from Europe, the United States, Australia, and New Zealand have shown that adherence to an evidence-based perioperative care protocol, such as Enhanced Recovery After Surgery (ERAS), has been generally low. It is of great importance to support the implementation of the ERAS protocol as it has been shown to improve outcomes after a number of surgical procedures, including major abdominal surgery. However, despite an increasing awareness of the importance of structured perioperative management, the implementation of this complex protocol has been slow. Barriers to implementation involve both patient-and staff-related factors as well as practice-related issues and resources. To support efficient and successful implementation, further educational and structural measures have to be made on a national or regional level to improve the standard of general health care. Besides postoperative morbidity, biological and physiological variables have been quite commonly reported in previous ERAS studies. Little information, however, has been obtained on cost-effectiveness, long-term outcomes, quality of life and patient-related outcomes, and these issues remain important areas of research for future studies.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words: Enhanced recovery; Surgery; Fast track; Perioperative management; Postoperative outcomeCore tip: There is a strong and evolving evidence base to support Enhanced Recovery After Surgery (ERAS) programs in abdominal surgery. Such pathways are safe and efficient in enhancing recovery and reducing morbidity. However, patient-related outcomes, cost effectiveness and long-term benefits from ERAS protocols need to be studied more carefully in the future. To support efficient and successful implementation, further educational efforts have to be performed on a national or regional level to improve the standard of care in the general population.

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Perioperative care: a survey of New Zealand and Australian colorectal surgeons

Abstract: There appears to be a high rate of evidence in agreement with some interventions but not others. The systemic barriers to implementing evidence-based perioperative care need attention.

Cited by 46 publications

References 35 publications

Surgical site infection and its risk factors in colon surgeries

Surgical site infection and its risk factors in colon surgeries

Current perioperative practice in Canadian vascular surgery

Evidence or eminence in abdominal surgery: Recent improvements in perioperative care

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