Title |
Enhanced Recovery Pathway in Gynecologic Surgery Improving Outcomes Through Evidence-Based Medicine
|
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Published in |
Obstetrics and gynecology clinics of North America, September 2016
|
DOI | 10.1016/j.ogc.2016.04.006 |
Pubmed ID | |
Authors |
Eleftheria Kalogera, Sean C. Dowdy |
Abstract |
A paucity of data exists regarding traditional perioperative practices (bowel preparation, NPO at midnight, liberal narcotics, PCA use, liberal fluids, prolonged bowel and bed rest). Enhanced Recovery after Surgery (ERAS) is an evidence-based approach to peri-operative care associated with improved outcomes including earlier return of gastrointestinal function, reduced opioid use, shorter hospital stay, and substantial cost reductions with stable complication and readmission rates. Basic principles include patient education, minimizing preoperative fasting, avoiding bowel preparation, preemptive analgesia, nausea/vomiting prophylaxis, perioperative euvolemia, no routine use of drain and nasogastric tubes, early mobilization, oral intake, and catheter removal, non-opioid analgesics, and preemptive laxatives. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Colombia | 1 | <1% |
Unknown | 122 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 18 | 15% |
Other | 14 | 11% |
Researcher | 12 | 10% |
Student > Master | 12 | 10% |
Student > Doctoral Student | 8 | 7% |
Other | 26 | 21% |
Unknown | 33 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 61 | 50% |
Nursing and Health Professions | 18 | 15% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Engineering | 2 | 2% |
Linguistics | 1 | <1% |
Other | 5 | 4% |
Unknown | 34 | 28% |