Preoperative patient preparation in enhanced recovery pathways

Iqbal, Usama; Green, Jeremy B.; Patel, Srikant; Tong, Yiwei; Zebrower, Marcus; Kaye, Alan D.; Urman, Richard D.; Eng, Matthew R.; Cornett, Elyse M.; Liu, Henry

doi:10.4103/joacp.joacp_54_18

Cited by 26 publications

(15 citation statements)

References 69 publications

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“…[ 40 ] Nevertheless, preoperative counseling and optimisation of nutrition are important steps of the enhanced recovery after surgery protocol. [ 41 ]…”

Section: Preoperative Optimisation/prehabilitationmentioning

confidence: 99%

Update on preoperative evaluation and optimisation

Jindal

Patil

Pradhan

et al. 2023

Indian Journal of Anaesthesia

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The patients presenting for surgery today often belong to the extremes of age, have multiple co-morbidities, and undergo complex surgeries. This makes them more prone to morbidity and mortality. A detailed preoperative evaluation of the patient can contribute to reducing this mortality and morbidity. There are various risk indices and validated scoring systems and many of them need to be calculated using preoperative parameters. Their key objective is to identify patients vulnerable to complications and to return them to desirable functional activity as soon as possible. Any individual undergoing surgery should be optimised preoperatively, but special considerations should be given to patients with comorbidity, on multiple drugs, and undergoing high-risk surgery. The objective of this review is to put forth the latest trends in the preoperative evaluation and optimisation of patients undergoing noncardiac surgery and emphasise the importance of risk stratification in these patients.

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“…[ 40 ] Nevertheless, preoperative counseling and optimisation of nutrition are important steps of the enhanced recovery after surgery protocol. [ 41 ]…”

Section: Preoperative Optimisation/prehabilitationmentioning

confidence: 99%

Update on preoperative evaluation and optimisation

Jindal

Patil

Pradhan

et al. 2023

Indian Journal of Anaesthesia

View full text Add to dashboard Cite

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“…Предоперационное обучение и меры психологической поддержки являются одним из базовых элементов программ ускоренного выздоровления [32]. Подобная подготовка демонстрирует достоверное преимущество: снижается общая тревожность и восприятие боли, уменьшаются риски развития осложнений, улучшается восприятие качества лечения [4,33].…”

Section: влияние на изменяемые факторыunclassified

Enchanted recovery. Preoperative preparation and prehabilitation.

Vorobev¹,

Белобородов²,

Тухиев³

2023

ECU

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Fast Track surgery (FTS), as well as ERAS (enhanced recovery after surgery/rapid recovery after surgery programs) or ERP (enhanced recovery program, in russian) is a multimodal and multidisciplinary treatment strategy designed to reduce the duration of disability and improve the quality of medical care. This program includes preparation at the preoperative stage, the use of minimally invasive techniques for performing surgical intervention and active management of the postoperative period to reduce the duration of inpatient treatment, rehabilitation time and the fastest possible return of patients to normal life. In the context of this review, the features of preparation and prehabilitation at the preoperative stage of the enhanced recovery program are considered. The main elements of the strategy are reviewed: correction of eating disorders, carbohydrate loading, preoperative education and problems of multidisciplinary interaction, sarcopenia, lifestyle changes, pharmacogenomics, correction of anemia and preoperative bowels preparation. Prehabilitation and preoperative preparation together help make the patient for surgery and subsequent recovery. The main elements of training are patient and staff training, multidisciplinary interaction, correction of concomitant somatic disorders and diseases, nutrition optimization and lifestyle changes.

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“…Role-playing is also used as a method for patient preparation, with the current target being limited to children with an upcoming CT scan. Future developments could target other medical processes such as prehabilitation of surgical patients [52], preparation of pregnant women for their postpartum periods [53], or self-management for patients with chronic diseases [54].…”

Section: App Contentmentioning

confidence: 99%

Virtual reality for healthcare: A scoping review of commercially available applications for head-mounted displays

Helou¹,

Khalil²,

Daou³

et al. 2022

Preprint

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Objective: This scoping review aimed to describe the scope of commercially available virtual reality (VR) healthcare applications for mainstream head-mounted displays (HMD)s.Methods: A search was conducted during late April and early May 2022 over five major VR app stores using “health,” “healthcare,” “medicine,” and “medical” as keywords. Apps were screened based on their title and description sections. Metadata collected included: title, description, release date, price (free or paid), multilingual support, VR app store availability, and HMD support.Results: The search yielded 1995 apps, out of which 60 met the inclusion criteria. The analysis showed that the number of healthcare VR apps has been steadily increasing since 2016, but no developer has released more than two apps so far. Most of the reviewed apps can run on HTC Vive, Oculus Quest, and Valve Index. Thirty-four (56.7%) apps had a free version, and 12 (20%) apps were multilingual, i.e., supported languages other than English. The reviewed apps fell into eight major themes: life science education (3D anatomy, physiology and pathology, biochemistry, and genetics); rehabilitation (physical, mental, and phobia therapy); public health training (safety, life-saving skills, and management); medical training (surgical and patient simulators); role-playing as a patient; 3D medical imagery viewing; children’s health; and online health communities.Conclusions: Although commercial healthcare VR is still in its early phases, end-users can already access a broad range of healthcare VR apps on mainstream HMDs. Further research is needed to assess the usefulness and usability of existing apps.

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Preoperative patient preparation in enhanced recovery pathways

Cited by 26 publications

References 69 publications

Update on preoperative evaluation and optimisation

Update on preoperative evaluation and optimisation

Enchanted recovery. Preoperative preparation and prehabilitation.

Virtual reality for healthcare: A scoping review of commercially available applications for head-mounted displays

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