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Fast track gynaecology

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https://www.readbyqxmd.com/read/26674819/a-fast-track-anaemia-clinic-in-the-emergency-department-feasibility-and-efficacy-of-intravenous-iron-administration-for-treating-sub-acute-iron-deficiency-anaemia
#1
Manuel Quintana-Díaz, Sara Fabra-Cadenas, Susana Gómez-Ramírez, Ana Martínez-Virto, José A García-Erce, Manuel Muñoz
BACKGROUND: Clinically significant anaemia, requiring red blood cell transfusions, is frequently observed in Emergency Departments (ED). To optimise blood product use, we developed a clinical protocol for the management of iron-deficiency anaemia in a fast-track anaemia clinic within the ED. MATERIALS AND METHODS: From November 2010 to January 2014, patients presenting with sub-acute, moderate-to-severe anaemia (haemoglobin [Hb] <11 g/dL) and confirmed or suspected iron deficiency were referred to the fast-track anaemia clinic...
March 2016: Blood Transfusion, Trasfusione del Sangue
https://www.readbyqxmd.com/read/25938602/-implementation-of-an-eras-program-in-liver-surgery
#2
Luis Sánchez-Urdazpal González, Sergio Salido Fernández, Enrique Alday Muñoz, Lourdes Gómez Martín-Tesorero, Begoña Molina Baena
The perioperative management of patients undergoing abdominal surgery has been based on traditional concepts and often not supported by scientific evidence. Recently there have been several scientific studies showing that some traditional procedures for the perioperative management of patients as preoperative fasting, bowel preparation, use of naso-gastric tubes, placement of intra-abdominal drainage, postoperative fasting etc. They are unnecessary and sometimes counterproductive. Perioperative management protocols ERAS or Fast-Track (Enhanced Recovery After Surgery) are based on the use in the perioperative period of measures that are supported by current scientific evidence...
2015: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/25789452/perioperative-enhanced-recovery-programmes-for-gynaecological-cancer-patients
#3
REVIEW
DongHao Lu, Xuan Wang, Gang Shi
BACKGROUND: Gynaecological malignancies contribute to 10% to 15% of cancers in women internationally. In recent years, a trend towards new perioperative care strategies has been documented as 'Fast Track (FT) surgery', or 'Enhanced Recovery Programmes' to replace some traditional approaches in surgical care. The FT multimodal programmes may enhance the postoperative recovery by means of reducing surgical stress. This systematic review aims to assess fully the beneficial and harmful effects of FT programmes in gynaecological cancer care...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25335828/patients-satisfaction-with-fast-track-surgery-in-gynaecological-oncology
#4
S Philp, J Carter, S Pather, C Barnett, N D'Abrew, K White
This study investigates the experience and satisfaction with care of fast-tracked gynaecological patients. The Sydney Gynaecological Oncology Group, New South Wales, Australia, has previously shown the benefits of a fast-track surgery programme for gynaecology patients with both complex benign gynaecological pathology and gynaecological malignancy. The question of whether these benefits translate into a positive experience for fast-tracked patients, in the context of their hospital stay and healthcare team care, has not been previously explored in detail...
July 2015: European Journal of Cancer Care
https://www.readbyqxmd.com/read/23568324/promoting-enhanced-recovery-after-colorectal-surgery
#5
Jennie Burch
Enhanced recovery after surgery, also known as fast track surgery, involves the use of evidence-based care to improve the surgical process for patients and reduce the length of their hospital stay. The enhanced recovery elements are pre-operative, peri-operative and post-operative; each element can work alone, but better results are achieved when they are used in combination (Gustafsson et al, 2011). Enhanced recovery after surgery can assist patients undergoing various operations, most commonly colorectal, but also orthopaedic and gynaecological surgery...
March 14, 2013: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/23320193/fast-track-surgery-in-gynaecology-and-gynaecologic-oncology-a-review-of-a-rolling-clinical-audit
#6
Jonathan Carter
Clinical audit is the process by which clinicians are able to demonstrate to themselves, their patients, hospital administrators, and healthcare financial providers the outcome and safety of their clinical practice. It is a process by which the public can be assured of safety and outcomes. A fast-track surgery program was initiated in January 2008, and this paper represents a rolling clinical audit of the outcomes of that program until the end of June 2012. Three hundred and eighty-nine patients underwent fast track surgical management after having a laparotomy for suspected or confirmed gynaecological cancer...
2012: ISRN Surgery
https://www.readbyqxmd.com/read/23235656/perioperative-enhanced-recovery-programmes-for-gynaecological-cancer-patients
#7
REVIEW
Donghao Lu, Xuan Wang, Gang Shi
BACKGROUND: Gynaecological malignancies contribute to 10% to 15% of cancers in women internationally. In recent years, a trend towards new perioperative care strategies has been documented as 'Fast Track (FT) surgery', or 'Enhanced Recovery Programmes' to replace some traditional approaches in surgical care. The FT multimodal programmes may enhance the postoperative recovery by means of reducing surgical stress. This systematic review aims to assess fully the beneficial and harmful effects of FT programmes in gynaecological cancer care...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22875269/implementing-enhanced-recovery-in-gynaecology-oncology
#8
Carolyn Rooth, Amar Sidhu
Enhanced recovery involves the adoption of a selected number of evidence-based interventions used together and implemented in a 'fast track' care pathway during preoperative management, surgery itself and throughout the immediate postoperative period. Aimed at promoting effective patient recovery after surgery, this has been shown to improve the patient experience and facilitate early patient discharge following major surgery in some clinical areas (Department of Health, 2010). Applied to the clinical management and nursing care of women affected by gynaecological malignancies in one London tertiary referral centre hospital, enhanced recovery has been seen to improve patient experience and shorten the length of overall hospital stay...
May 24, 2012: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/22681595/implementation-and-audit-of-fast-track-surgery-in-gynaecological-oncology-surgery
#9
Verinder S Sidhu, Letitia Lancaster, David Elliott, Alison H Brand
BACKGROUND: Fast-track surgery is a multidisciplinary approach to surgery that results in faster recovery from surgery and decreased length of stay (LOS). AIMS: The aims of this study were as follows: (i) to report on the processes required for the introduction of fast-track surgery to a gynaecological oncology unit and (ii) to report the results of a clinical audit conducted after the protocol's implementation. METHODS: A fast-track protocol, specific to our unit, was developed after a series of multidisciplinary meetings...
August 2012: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/22459714/fast-track-accelerated-diagnostic-investigation-for-urinary-incontinence-in-women
#10
Margrethe Foss Hansen, Jens Christian Prien-Larsen, Lars Hemmingsen, Jens Vej Olesen
INTRODUCTION: We have developed a one-hour standardised, accelerated diagnostic investigation programme to evaluate women with urinary incontinence (UI). The purpose of the study was to record how many patients followed the programme and had a diagnosis and a treatment plan after a one-hour visit and to describe the causes of deviation from the programme. A second purpose was to monitor patient satisfaction. METHODS: In this retrospective cohort study, 276 women with the diagnosis UI participated...
April 2012: Danish Medical Journal
https://www.readbyqxmd.com/read/20840529/the-impact-of-mode-of-anaesthesia-on-postoperative-recovery-from-fast-track-abdominal-hysterectomy-a-randomised-clinical-trial
#11
RANDOMIZED CONTROLLED TRIAL
N Borendal Wodlin, L Nilsson, P Kjølhede et al.
OBJECTIVE: to determine whether the duration of hospital stay after abdominal hysterectomy in a fast-track setting differed between women operated under general anaesthesia or in spinal anaesthesia with intrathecal morphine. DESIGN: an open randomised controlled multicentre study. SETTING: five hospitals in the south-east of Sweden. POPULATION: one hundred and eighty women scheduled for benign hysterectomy were randomised: 162 completed the study, 82 were allocated to spinal anaesthesia and 80 were allocated to general anaesthesia...
February 2011: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/20556792/perioperative-enhanced-recovery-programmes-for-gynaecological-cancer-patients
#12
REVIEW
Donghao Lv, Xuan Wang, Gang Shi
BACKGROUND: Gynaecological malignancies contribute to 10 to 15% of cancers in women internationally. In recent years, a trend towards new perioperative care strategies has been documented as "Fast Track (FT) surgery", or "Enhanced Recovery Programmes" to replace some traditional approaches in surgical care. The FT multimodal programmes may enhance the postoperative recovery by means of reducing surgical stress. This systematic review aims to fully assess the beneficial and harmful effects of FT programmes in gynaecological cancer care...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/15744648/-what-is-fast-track-surgery
#13
W Schwenk, J M Müller
"Fast-track"-surgery -- also called "fast-track"-rehabilitation -- is an interdisciplinary, multimodal concept to accelerate postoperative reconvalescence and reduce general morbidity. "Fast-track"-rehabilitation focuses on preoperative patient education, atraumatic and minimal-invasive access to the operative field, optimized anesthesia under normovolemia and prevention of intraoperative hypoxia and hypothermia, effective analgetic therapy without high systemic doses of opioids, enforced postoperative patient mobilisation, early postoperative oral feeding, and avoidance of tubes and drains...
March 11, 2005: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/14982311/the-impact-of-the-introduction-of-a-fast-track-clinic-on-ovarian-cancer-referral-patterns
#14
O M McNally, V Wareham, D J Flemming, M E Cruickshank, D E Parkin
The aim of this study is to review the referral patterns for ovarian cancer in the Grampian region of Scotland and assess the impact of a 'fast track' clinic on the patient journey. Population-based retrospective analysis of a gynaecological cancer database and patient case notes were used. After its inception, 13.5% of patients were referred through the fast track clinic and 83% were seen within 2 weeks. Thirty-six per cent of patients were admitted as emergencies, mainly surgical or medical. The median general practitioner-to-specialist time was 3 days (range 0-188 days)...
December 2003: European Journal of Cancer Care
https://www.readbyqxmd.com/read/12848590/erlotinib-cp-358774-nsc-718781-osi-774-r-1415
#15
(no author information available yet)
Erlotinib [Tarceva, R 1415, CP 358774, OSI 774, NSC 718781] is a small molecular, once-a-day, orally active inhibitor of the epidermal growth factor receptor tyrosine kinase. This profile has been selected from R&D Insight, a pharmaceutical intelligence database produced by Adis International Ltd. It is one of a class of anticancer drugs that target the underlying molecular mechanism involving oncogenes and tumour suppressor genes, which play critical roles in the conversion of normal cells into a cancerous state...
2003: Drugs in R&D
https://www.readbyqxmd.com/read/10551919/-prophylaxis-of-nausea-and-vomiting-after-pelviscopy-dolasetron-or-mcp-in-comparison-with-placebo
#16
RANDOMIZED CONTROLLED TRIAL
D Rüsch, J Bernhardt, H Wulf
BACKGROUND: Gynaecological surgery including laparoscopy is frequently associated with PONV. Therefore, choosing an anaesthetic with only little side effects in operations eligible for outpatient surgery is at least as important as applying anaesthetics that enable fast-tracking. STUDY GOAL: To assess the incidence and severity of PONV after balanced desflurane-N(2)O-anaesthesia and to compare the antiemetic efficacy of dolasetron or metoclopramide versus placebo...
October 1999: Der Anaesthesist
https://www.readbyqxmd.com/read/10021956/readmission-for-bleeding-after-outpatient-surgery
#17
H Vaghadia, L Scheepers, P M Merrick
PURPOSE: To examine the frequency of readmission due to surgical bleeding after ambulatory surgery. METHODS: A retrospective review of hospital records for patients readmitted to the same hospital after surgery in our Daycare centre was conducted for January 1984 to December 1992. The charts of all patients readmitted to hospital within 48 hr of surgery were examined. Readmissions for bleeding were studied with respect to demographics, time when bleeding occurred after arrival in PACU(latent interval) and treatment...
November 1998: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/9924464/managing-stis-identified-after-testing-outside-genitourinary-medicine-departments-one-model-of-care
#18
L Haddon, J Heason, T Fay, M McPherson, E M Carlin, I H Jushuf
OBJECTIVES: To develop a local strategy for managing cases of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) which have been identified in the departments of obstetrics and gynaecology (O&G). METHODS: Weekly notification from the local microbiology laboratory to genitourinary medicine (GUM) departments of all positive CT and GC results generated by tests performed in the two local O&G departments. Direct contact made by GUM departments to index patients identified and "fast track" appointments made...
August 1998: Sexually Transmitted Infections
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