Breaking News
March 19, 2019 - Study of young athletes suggests snoring and sleep apnea are linked to sudden cardiac death
March 19, 2019 - Did Your Doctor ‘Ghost’ You? An Employment Contract May Be To Blame
March 19, 2019 - Food pantry clients more likely to make healthy choices when meal kits and recipe tastings are available
March 19, 2019 - Mental health problems among children increasing
March 19, 2019 - New ISO standard helps evaluate and manage impact of environmental damage
March 19, 2019 - CardioMEMS heart failure sensor reliably safe, effectively reduces hospitalizations
March 19, 2019 - Researchers report promising results of potential reversal agent
March 19, 2019 - Scientists identify brain circuit responsible for cocaine-seeking behavior during relapse
March 19, 2019 - First African-American Neuroscience Research Initiative launched to close the gap in health disparities
March 19, 2019 - Bimekizumab Demonstrated Long-Term Maintenance of Complete or Almost Complete Skin Disease Resolution for Psoriasis Patients in BE ABLE 2 Extension Study
March 19, 2019 - Attitudes about health affect how older adults engage with negative health news
March 19, 2019 - Huron Digital Pathology to unveil new ‘Scan Index Search’ platform at USCAP 2019
March 19, 2019 - Frequent intake of sugary drinks tied to greater risk of premature death
March 19, 2019 - Bruker showcases new analytical systems and applied market solutions at Pittcon 2019
March 19, 2019 - Framingham cardiovascular risk prediction model from the 1990s still gives the best results
March 19, 2019 - New article focuses on integrative health, value-based medicine, and whole systems research
March 19, 2019 - Foamix Announces FDA Acceptance of New Drug Application for FMX101 Minocycline Foam for the Treatment of Moderate-to-Severe Acne
March 19, 2019 - National survey of emergency dept management of self-harm highlights successes, room for improvement
March 19, 2019 - Scientists reverse alcohol-seeking behavior in rats with flip of a switch
March 19, 2019 - Researchers hope blood test that accurately diagnoses fibromyalgia could be available within five years
March 19, 2019 - New Planmeca ProScanner 2.0 offers fast and dependable intraoral imaging
March 19, 2019 - A new option for reducing LDL cholesterol in patients at high risk for heart attack, stroke
March 19, 2019 - Common medications to treat heartburn linked to increased risks for kidney failure
March 19, 2019 - Current HBV genome sequences help deduce ancient human population movements into Australia
March 19, 2019 - Pure omega-3 prescription drug significantly reduces the occurrence of ischemic events
March 19, 2019 - Researchers use big data to gain better understanding of hepatitis E virus
March 19, 2019 - Use of synthetic psychedelic linked to improvements in depression and anxiety
March 19, 2019 - GARP protein can be a potential target for immunotherapy against colorectal cancer
March 19, 2019 - Knee Pain Not Tied to Activity Levels in Knee Osteoarthritis
March 19, 2019 - Study shows benefits of delayed cord clamping in healthy babies
March 19, 2019 - Pharmacists can undertake overall clinical responsibility for patients, shows study
March 19, 2019 - A cell’s “self-destruct” function could yield new therapies
March 19, 2019 - Latest advances and perspectives of all AI types used in pharmaceutical R&D
March 19, 2019 - Prophylactic cranial irradiation used as standard approach for patients with NSCLC
March 19, 2019 - Sugar-sweetened beverages may be linked with increased risk of cardiovascular mortality
March 19, 2019 - AHA News: Black Woman in Their 50s Face Especially High Stroke Risk
March 19, 2019 - Secrets of early life revealed from less than half a teaspoon of blood
March 19, 2019 - Immune cells engineered to tattle on suspicious cells in the body
March 19, 2019 - Heart attack patients who are taken to heart care centres directly survive longer
March 19, 2019 - IVF babies have increased in birthweight over the past 25 years, study reveals
March 19, 2019 - Study highlights the need for psychiatric care to be integrated into cancer treatment
March 19, 2019 - Testosterone treatment lowers recurrence rates in low-risk prostate cancer patients
March 19, 2019 - Caterpillars could hold the secret to new treatment for Osteoarthritis
March 19, 2019 - Parkinson’s treatment delivers a power-up to brain cell ‘batteries’
March 19, 2019 - Stanford launches new Institute for Human-Centered Artificial Intelligence
March 19, 2019 - Wireless earphones may cause cancer
March 18, 2019 - ACC/AHA guideline for prevention of cardiovascular disease released
March 18, 2019 - UTA nursing professor receives $6.575 million to attack musculoskeletal diseases
March 18, 2019 - Gene medication shows promise to treat spinal cord injuries
March 18, 2019 - First Human Study of “Robotic” RaniPill™ Capsule to Replace Injections Announced by Rani Therapeutics
March 18, 2019 - Food Allergy Testing: MedlinePlus Lab Test Information
March 18, 2019 - Altered brain activity patterns of Parkinson’s captured in mice
March 18, 2019 - Apple Heart Study demonstrates ability of wearable technology to detect atrial fibrillation | News Center
March 18, 2019 - Cardiovascular benefits of diabetes drug extend across a wide spectrum of patients, shows study
March 18, 2019 - Novel cardiac pump shows superior outcomes in patients with advanced heart failure
March 18, 2019 - U.S. FDA Grants Priority Review for Fedratinib New Drug Application in Myelofibrosis
March 18, 2019 - Living like a caveman won’t make you thin—but it might make you healthy
March 18, 2019 - Modified immune cells issue alert when detecting cancer in mice | News Center
March 18, 2019 - Dementia caregivers design robots for alleviating stress and increasing joyful moments
March 18, 2019 - VR technology could help improve balance in humans
March 18, 2019 - Study demonstrates effective way to slow progression of cerebrovascular disease in older adults
March 18, 2019 - Premature babies also have protective anti-viral antibodies
March 18, 2019 - Painkillers taken by pregnant mothers unlikely to cause asthma in the child
March 18, 2019 - Fibromyalgia can be reliably detected in blood samples
March 18, 2019 - Marijuana use has dropped among most teens after legalization
March 18, 2019 - Legacy Pharmaceutical Packaging, LLC Issues Voluntary Nationwide Recall of Losartan Potassium Tablets, USP, 25mg, 50mg, And 100mg Due to The Detection of Trace Amounts Of N-Nitroso N-Methyl 4-Amino Butyric Acid (NMBA) Impurity Found in The Active Pharmaceutical Ingredient (API)
March 18, 2019 - Researchers identify early home and family factors that contribute to obesity
March 18, 2019 - Fate and festivity: Match Day 2019
March 18, 2019 - Study finds TAVR to be as good as open-heart surgery for patients at low surgical risk
March 18, 2019 - EU-funded project is developing new tools for diagnosing cancer
March 18, 2019 - Gluten, lactose, food dyes in pills could be causing side effects finds study
March 18, 2019 - Taking painkillers during pregnancy is not responsible for asthma risk in children, study shows
March 18, 2019 - Prediagnosis Psychiatric Care Linked to Worse Cancer Mortality
March 18, 2019 - Paris hospital halts stool study after donor deluge
March 18, 2019 - Partial oral antibiotic therapy shows efficacy and safety in patients with infectious endocarditis
March 18, 2019 - Olympus improves access to science education through BioBus collaboration
March 18, 2019 - Depression screening does not improve quality of life in heart attack patients
March 18, 2019 - Echocardiography may aid in patient selection for TMVR
March 18, 2019 - Are ‘Inactive’ Ingredients in Your Drugs Really So Harmless?
March 18, 2019 - Wearable technology can safely identify atrial fibrillation
Research highlights benefits from enhanced recovery after surgery program

Research highlights benefits from enhanced recovery after surgery program

image_pdfDownload PDFimage_print

Colorectal and bariatric surgery patients benefited from an enhanced recovery after surgery (ERAS) program, leaving the hospital sooner and requiring fewer opioids to control pain, according to new research presented at the American Society of Anesthesiologists PRACTICE MANAGEMENT 2018 meeting. The paper, and other research being presented, highlight how physician anesthesiologists are leading the way in improving the entire surgical experience for patients – from the decision to have surgery through discharge, recovery and beyond – to help enhance outcomes and reduce costs.

– ERAS program shortens hospital stay: ERAS programs use a variety of methods to ease the effects of surgery and facilitate early patient recovery. They are an important aspect of the Perioperative Surgical Home (PSH), in which a patient’s surgical experience is fully coordinated and treated as a continuum of care. Providence Anesthesiology Associates in Charlotte, North Carolina compared the results of 621 patients undergoing colorectal or bariatric surgery who participated in an ERAS program to historical data prior to the implementation of the ERAS. Colorectal patients in the ERAS group stayed in the hospital 2.05 days compared to 4.5 days for non-ERAS patients. Bariatric patients in the ERAS group stayed .95 days vs. 2.15 for non-ERAS patients. Patients in both ERAS groups used significantly fewer opioids after surgery than those in the non-ERAS groups and had shorter stays in the post-anesthesia care unit (PACU). Costs were reduced by 20 percent per case among the colorectal surgery ERAS patients compared to non-ERAS patients. The ERAS program included the following elements: preoperative patient education beginning in the surgeon’s office and more extensively at the preadmission testing clinic, carb loading the night before surgery and three hours before the procedure, administering preoperative Alvimopan to restore bowel function after surgery, and employing pain methods other than opioids including transversus abdominal plane blocks to reduce or eliminate opioids after surgery. “Our results demonstrate the benefits of physician anesthesiologists and surgeons working collaboratively to lower costs and improve our patients’ outcomes,” said Vicki Morton, DNP, MSN, AGNP-BC, director of clinical and quality outcomes at Providence Anesthesiology Associates.

– Pre-surgical consultation with pain medicine specialist eases anxiety for certain patients: Consultation with a pain medicine specialist before surgery may help chronic pain patients and those with substance abuse problems feel less anxious about their post-surgical pain management, suggests a University of Pittsburgh Medical Center study. The study includes 12 spinal fusion patients who consulted with a physician anesthesiologist pain specialist before surgery. The patients either had a history of substance abuse and were on outpatient addiction maintenance therapy, had a history of high opioid use before surgery, or specifically requested a pain clinic consultation. Each met with the physician anesthesiologist, who consulted with the surgeon and patient to formulate a plan for the most appropriate pain management after surgery. That plan was shared with the patient’s primary care or pain medicine specialist. The patients reported they were less stressed about surgery, less anxious during the perioperative period and more satisfied with pain control after surgery. The researchers believe this method may help decrease hospital length of stay which could lower costs, as well as improve patient satisfaction. “Some of these patients refuse to leave the hospital after surgery until they feel they are on the right pain regimen, and therefore stay longer,” said Trent Emerick, M.D., M.B.A., director of quality improvement and innovation, Chronic Pain Division, in the Department of Anesthesiology at the University of Pittsburgh Medical Center. “We believe that by working to address these issues before surgery we can decrease costs while improving satisfaction.”

– Assessing patients for frailty before surgery could prevent bad outcomes: Evaluating older patients for frailty before they have surgery may improve outcomes and should be part of standard anesthesia presurgical screening, say researchers from Beaumont Health, Royal Oak, Michigan. The researchers suggest using a short questionnaire to screen for frailty, such as Fried’s Frailty criteria, since frailty can be an independent predictor of postoperative complications. Patients who are identified as frail prior to surgery should be optimized before undergoing the procedure through nutrition, strength training, improving balance and mobility, counseling and medications, the researchers note. “A healthy 80-year-old is not the same as a healthy 30-year-old, but they often are assessed for surgery in the same way,” said Laura Lepczyk, D.O., a clinical anesthesia resident at Beaumont Health. “Further, some 80-year-olds are strong and vibrant and others are weak. A frailty assessment before surgery can help providers determine whether a patient is strong enough for surgery and if not, help determine if the patient’s health can be optimized to enable the procedure.”

Tagged with:

About author

Related Articles