Implementation of a multidisciplinary perioperative protocol in major emergency abdominal surgery.
Purpose: Enhanced recovery after surgery programs is widely implemented in elective settings, however, until recently, rarely in emergency surgery. The purpose of this study was to present detailed contents and data on implementation of an emergency abdominal perioperative protocol on the basis of c...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 47; no. 2; pp. 467 - 478 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149594452&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149594452 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2021 vid: 47 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 149594452 149594452 149594452 10.1007/s00068-019-01238-7 149594452 ppf: 467 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation of a multidisciplinary perioperative protocol in major emergency abdominal surgery. aug: au: Burcharth, Jakob Abdulhady, Luka Danker, Jakob Ekeloef, Sarah Jørgensen, Thomas Lauridsen, Halfdan Lunen, Thomas Bech Lyngesen, Malene Puggaard, Iben Mathiesen, Ole Gögenur, Ismail affil: Department of Surgery, Centre for Surgical Science, Zealand University Hospital, Lykkebaekvej 1, 4600, Koege, Denmark sug: subj: Multidisciplinary Care Team Perioperative Care Protocols Laparotomy Enhanced Recovery After Surgery Emergency Service Implementation Science Program Implementation Human Preoperative Care Intraoperative Care Postoperative Care Professional Compliance Program Evaluation Surgical Patients Emergency Patients Time Factors Referral and Consultation Descriptive Statistics ab: Purpose: Enhanced recovery after surgery programs is widely implemented in elective settings, however, until recently, rarely in emergency surgery. The purpose of this study was to present detailed contents and data on implementation of an emergency abdominal perioperative protocol on the basis of compliance. Methods: A multidisciplinary perioperative bundle for major emergency abdominal surgery was developed and implemented in March 2017 covering surgical, emergency, anesthesiological, radiological, physiotherapy, and nutritional support. The bundle consisted of preoperative-, intraoperative-, and postoperative initiatives. Fifteen core protocol items were identified for audit and compliance rates for each protocol item and overall compliance rates were evaluated and quarterly stratified throughout the first year of implementation. Results: A total of 227 consecutive patients underwent major emergency abdominal surgery from March 2017 throughout February 2018. The specific protocol items showed high individual compliance rates throughout all quarters of the first year. Time to suspicion of diagnosis at the emergency department, rate of perioperative thoracic epidural, and postoperative referral to physiotherapy showed the lowest compliance rates. The overall compliance rate of all 15 protocol items was 83% (min–max 71.4–100%). Conclusion: We found it possible to implement a comprehensive detailed perioperative protocol in emergency abdominal surgery across multiple specialties with an overall good compliance of protocol items. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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