Perioperative fluid therapy in elective colectomy in an enhanced recovery programme

Srinivasa, Sanket; Singh, Simran Preet; Kahokehr, Arman; Taylor, Matthew; Hill, Andrew

doi:10.1111/j.1445-2197.2012.06122.x

Cited by 8 publications

(6 citation statements)

References 34 publications

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“…9,10,12,16,17,37,38 This also holds true for high-risk patients. 39 Transient hypotension is an acknowledged side effect of neuraxial blockade; postoperatively, about 10%e20% of patients are affected. 27,30,32,33,40 In the current series, hypotension occurred in patients with or without intrathecal injections (Fig.…”

Section: Discussionmentioning

confidence: 99%

Intrathecal Analgesia and Restrictive Perioperative Fluid Management within Enhanced Recovery Pathway: Hemodynamic Implications

Hübner

Lovely

Huebner

et al. 2013

Journal of the American College of Surgeons

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BACKGROUND: Intrathecal analgesia and avoidance of perioperative fluid overload are key items within enhanced recovery pathways. Potential side effects include hypotension and renal dysfunction. STUDY DESIGN: From January 2010 until May 2010, all patients undergoing colorectal surgery within enhanced recovery pathways were included in this retrospective cohort study and were analyzed by intrathecal analgesia (IT) vs none (noIT). Primary outcomes measures were systolic and diastolic blood pressure, mean arterial pressure, and heart rate for 48 hours after surgery. Renal function was assessed by urine output and creatinine values.

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Section: Discussionmentioning

confidence: 99%

Intrathecal Analgesia and Restrictive Perioperative Fluid Management within Enhanced Recovery Pathway: Hemodynamic Implications

Hübner

Lovely

Huebner

et al. 2013

Journal of the American College of Surgeons

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“…The current study confirmed that the ERAS group had a significantly lower occurrence of complications, and identified DVT as a major complication prevented by ERAS strategy. Limited fluid therapy and early oral diet have been reported to not only promote the resumption of bowel function and lessen the stress reaction of patients, but also decrease postoperative complications and shorten hospitalization time (12). Meanwhile, good pain control has also been recommended to achieve rapid recovery and discharge and decrease the occurrence of post-operative complications (2).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Outcomes Between Chinese Patients Receiving Hepatectomy With or Without Enhanced Recovery After Surgery Strategy

et al. 2021

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Purposes: For the first time in China, the current study was designed to compare the clinical outcomes between Chinese patients receiving hepatectomy with or without the enhanced recovery after surgery (ERAS) strategy.Methods: The current study enrolled 250 patients who would receive hepatectomy. Patients were randomized into two groups: ERAS group (n = 125, ERAS strategy) and control (n = 125, conventional care). Mortality, length of hospital stay, readmission, and complications were assessed over 30 days after the operation.Results: The average age of the whole cohort was 65 (63–68) years, with 152 males (60.8%). There was no difference between two groups in baseline features, such as age, sex, medical history, Child–Pugh hepatic function, American Society of Anaesthesiologists physical status, operative type, hepatectomy type, and hepatic pathology (P > 0.05 for all). There was no occurrence of death in the two groups. Patients in the ERAS group had significantly less occurrence of post-operative complications and a shorter length of hospital stay (P < 0.05 for all). Deep vein thrombosis occurred in seven patients in the control group, but did not occur in the ERAS group (P < 0.05). Patients in the two groups had similar occurrence of readmission (P > 0.05).Conclusions: ERAS strategy significantly decreased the occurrence of operative complications and shortened the length of hospital stay without any increase in mortality or readmission in Chinese patients receiving hepatectomy.

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“…Early postoperative oral nutrition has been reported to reduce catabolism, lessen stress reaction, and decrease resting energy expenditure and postoperative complications such as nausea, vomiting, bloating or enteroparalysis (Srinivasa et al 2012; Nygren et al 2005). Most patients can eat normal food at day one after liver surgery, and we recommend early oral intake to accelerate resumption of bowel function.…”

Section: Discussionmentioning

confidence: 99%

Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy

Wang

Feng

et al. 2016

SpringerPlus

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BackgroundWe aimed to evaluate postoperative recovery and short-term outcomes of patients undergoing partial hepatectomy managed with a nonstrict and individual enhanced recovery after surgery (ERAS) program.MethodsA retrospective analysis of 168 partial hepatectomy patients in our institution was included. The discharged day and the respective impact of element application throughout the duration were analyzed.ResultsWhen all the required elements of ERAS were fully implemented, the median discharge day was 6. The more deviation occurred, the more delayed the patient discharged (P < 0.01). Preoperative ASA score, basic conditions of patients and ages were revealed closely associated with discharge day (P < 0.001). Without or an early removal of tubes and early oral feeding reduced hospital stay statistically (P < 0.01). Early discharge of patients (<3 days) did not show an increased complication incidence or readmission (P > 0.05).ConclusionNonstrict and individual use of ERAS in partial hepatectomy reduced postoperative length of stay without increasing complication rate. Our study proposes a modulation of ERAS according to the needs and acceptance of patients. In a word, better optionally required rather than mandatorily meet.

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Perioperative fluid therapy in elective colectomy in an enhanced recovery programme

Abstract: Intraoperative fluid restriction can be employed uniformly in ASA 1-3 patients undergoing colectomy. Post-operative administration of greater fluid volumes was associated with adverse outcomes.

Cited by 8 publications

References 34 publications

Intrathecal Analgesia and Restrictive Perioperative Fluid Management within Enhanced Recovery Pathway: Hemodynamic Implications

Intrathecal Analgesia and Restrictive Perioperative Fluid Management within Enhanced Recovery Pathway: Hemodynamic Implications

Comparison of Clinical Outcomes Between Chinese Patients Receiving Hepatectomy With or Without Enhanced Recovery After Surgery Strategy

Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy

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