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Enhanced recovery programme

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https://www.readbyqxmd.com/read/29777454/improved-outcomes-in-394-pancreatic-cancer-resections-the-impact-of-enhanced-recovery-pathway
#1
Vandana Agarwal, Martin Jose Thomas, Riddhi Joshi, Vikram Chaudhari, Manish Bhandare, Abhishek Mitra, Ashwin deSouza, Reshma Ambulkar, Shailesh V Shrikhande
BACKGROUND: Enhanced recovery (ER) pathway reduces morbidity and accelerates recovery. It is associated with reduced postoperative stay, morbidity, and costs. Feasibility and safety of ER programme has not been studied in developing countries. The objectives were to assess compliance with Enhanced Recovery After Surgery (ERAS) elements and to assess outcomes in pancreatic surgery. METHODS: Prospective study conducted from February 2014 to December 2016, following elective pancreatic cancer surgery...
May 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29772001/correction-using-the-normalization-process-theory-to-qualitatively-explore-sense-making-in-implementation-of-the-enhanced-recovery-after-surgery-programme-it-s-not-rocket-science
#2
Eileen Sutton, Georgia Herbert, Sorrel Burden, Stephen Lewis, Steve Thomas, Andy Ness, Charlotte Atkinson
[This corrects the article DOI: 10.1371/journal.pone.0195890.].
2018: PloS One
https://www.readbyqxmd.com/read/29756513/self-directed-therapy-programmes-for-arm-rehabilitation-after-stroke-a-systematic-review
#3
Ruth H Da-Silva, Sarah A Moore, Christopher I Price
AIM: To investigate the effectiveness of self-directed arm interventions in adult stroke survivors. METHODS: A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out. Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Quality of the evidence was assessed using the Cochrane risk of bias tool. RESULTS: A total of 40 studies ( n = 1172 participants) were included (19 randomized controlled trials (RCTs) and 21 before-after studies)...
May 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29743063/optimising-perioperative-care-for-hip-and-knee-arthroplasty-in-south-africa-a-delphi-consensus-study
#4
U Plenge, M B Nortje, L C Marais, J D Jordaan, R Parker, N van der Westhuizen, J F van der Merwe, J Marais, W V September, G L Davies, T Pretorius, C Solomon, P Ryan, A M Torborg, Z Farina, R Smit, C Cairns, H Shanahan, S Sombili, A Mazibuko, H R Hobbs, O S Porrill, N E Timothy, R E Siebritz, C van der Westhuizen, A J Troskie, C A Blake, L A Gray, T W Munting, H K S Steinhaus, P Rowe, J G van der Walt, R Isaacs Noordien, A Theron, B M Biccard
BACKGROUND: A structured approach to perioperative patient management based on an enhanced recovery pathway protocol facilitates early recovery and reduces morbidity in high income countries. However, in low- and middle-income countries (LMICs), the feasibility of implementing enhanced recovery pathways and its influence on patient outcomes is scarcely investigated. To inform similar practice in LMICs for total hip and knee arthroplasty, it is necessary to identify potential factors for inclusion in such a programme, appropriate for LMICs...
May 9, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29730070/exercise-prehabilitation-in-elective-intra-cavity-surgery-a-role-within-the-eras-pathway-a-narrative-review
#5
REVIEW
Samuel T Orange, Matthew J Northgraves, Phil Marshall, Leigh A Madden, Rebecca V Vince
The Enhanced Recovery after Surgery (ERAS) model integrates several elements of perioperative care into a standardised clinical pathway for surgical patients. ERAS programmes aim to reduce the rate of complications, improve surgical recovery, and limit postoperative length of hospital stay (LOHS). One area of growing interest that is not currently included within ERAS protocols is the use of exercise prehabilitation (PREHAB) interventions. PREHAB refers to the systematic process of improving functional capacity of the patient to withstand the upcoming physiological stress of surgery...
May 3, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29708025/the-use-of-arts-interventions-for-mental-health-and-wellbeing-in-health-settings
#6
A Jensen, L O Bonde
AIMS: This literature review aims to illustrate the variety and multitude of studies showing that participation in arts activities and clinical arts interventions can be beneficial for citizens with mental and physical health problems. The article is focused on mental health benefits because this is an emerging field in the Nordic countries where evidence is demanded from national health agencies that face an increasing number of citizens with poor mental health and a need for non-medical interventions and programmes...
April 1, 2018: Perspectives in Public Health
https://www.readbyqxmd.com/read/29703251/allogeneic-transplantation-of-programmable-cells-of-monocytic-origin-pcmo-improves-angiogenesis-and-tissue-recovery-in-critical-limb-ischemia-cli-a-translational-approach
#7
Rouven Berndt, Lars Hummitzsch, Katharina Heß, Martin Albrecht, Karina Zitta, Rene Rusch, Beke Sarras, Andreas Bayer, Jochen Cremer, Fred Faendrich, Justus Groß
BACKROUND: Employing growth factor-induced partial reprogramming in vitro, peripheral human blood monocytes can acquire a state of plasticity along with expression of various markers of pluripotency. These so-called programmable cells of monocytic origin (PCMO) hold great promise in regenerative therapies. The aim of this translational study was to explore and exploit the functional properties of PCMO for allogeneic cell transplantation therapy in critical limb ischemia (CLI). METHODS: Using our previously described differentiation protocol, murine and human monocytes were differentiated into PCMO...
April 27, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29668717/using-the-normalization-process-theory-to-qualitatively-explore-sense-making-in-implementation-of-the-enhanced-recovery-after-surgery-programme-it-s-not-rocket-science
#8
Eileen Sutton, Georgia Herbert, Sorrel Burden, Stephen Lewis, Steve Thomas, Andy Ness, Charlotte Atkinson
INTRODUCTION: The Enhanced Recovery After Surgery programme (ERAS) is an approach to the perioperative care of patients encompassing multiple interventions and involving a wide range of different actors. It can thus be defined as a complex intervention. Despite the strength of the evidence-base in its support, the implementation of ERAS has been slow. This paper specifically explores the utility of Normalization Process Theory (NPT) as a methodological framework to aid exploration of ERAS implementation, with a focus on the core NPT construct coherence...
2018: PloS One
https://www.readbyqxmd.com/read/29582421/the-enhanced-recovery-after-surgery-eras-greenie-board-a-navy-inspired-quality-improvement-tool
#9
A J Smirk, J J Nicholson, Y L Console, N J Hunt, A Herschtal, M N H H Nguyen, B Riedel
The United States Navy uses a visual feedback system for pilots, named 'the Greenie Board', to improve flight manoeuvres on aircraft carriers. Given that increased compliance with enhanced recovery after surgery protocols reduces postoperative complications, we decided to apply a similar feedback system to our institutional enhanced recovery programme. We undertook a prospective 12-month audit of 194 patients assigned to our enhanced recovery programme and evaluated adherence to the anaesthesia-related components of our protocol, before and after implementing a Greenie Board...
March 26, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29541841/much-ado-about-nothing-the-effect-of-tourniquet-time-on-an-accelerated-rehabilitation-programme-following-total-knee-replacement-tkr
#10
William Wynell-Mayow, Muhammad Zahid Saeed
BACKGROUND: The WHO includes osteoarthritis as a disease of priority, owing to its significant impact on quality of life, and globally increasing prevalence. Hospital budgets are under pressure to ration knee replacements and shorten inpatient stays. Prolonged tourniquet application has been hypothesised to extend recovery through pain and reduced mobility. PATIENTS AND METHODS: A total of 123 elective total knee replacements meeting inclusion criteria took place from July 2015 to October 2017 at the Royal Free Hospital...
March 14, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29536753/-enhanced-recovery-program-in-colorectal-surgery
#11
Balázs Bánky, Miklós Lakatos, Krisztina Varga, Edit Hansági, Éva Horváth, Géza Járay
INTRODUCTION: Enhanced recovery after surgery (ERAS) programme has been described and practiced for twenty years in the perioperative management of colorectal patients. ERAS is a complex, evidence based strategy which proved to be extremely effective when linked to laparoscopy in reducing morbidity, length of hospital stay, as well as reducing cost of colorectal service. AIMS: We gradually adapted elements of ERAS protocol along with laparoscopy in the colorectal surgical treatment at a county hospital from 2013...
March 2018: Magyar Sebészet
https://www.readbyqxmd.com/read/29521684/postoperative-cesarean-pain-real-but-is-it-preventable
#12
Patricia Lavand'homme
PURPOSE OF REVIEW: Cesarean section is the most common surgical procedure performed in the world. Postoperative pain management remains a challenge, particularly in a context of enhanced recovery after surgery. Several barriers related to the specific condition of 'postpartum recovery' may prevent application of effective analgesia in this population. The present review focuses on novel approaches of cesarean section postoperative pain assessment, beyond pain-rating intensity, including objective patient-centered recovery parameters...
June 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29515602/development-of-biofortified-maize-hybrids-through-marker-assisted-stacking-of-%C3%AE-carotene-hydroxylase-lycopene-%C3%AE%C2%B5-cyclase-and-opaque2-genes
#13
Rajkumar U Zunjare, Firoz Hossain, Vignesh Muthusamy, Aanchal Baveja, Hema S Chauhan, Jayant S Bhat, Nepolean Thirunavukkarasu, Supradip Saha, Hari S Gupta
Traditional yellow maize though contains high kernel carotenoids, the concentration of provitamin A (proA) is quite low (<2 μg/g), compared to recommended level (15 μg/g). It also possesses poor endosperm protein quality due to low concentration of lysine and tryptophan. Natural variant of crtRB1 (β -carotene hydroxylase ) and lcyE ( lycopene- ε -cyclase ) cause significant enhancement of proA concentration, while recessive allele, opaque2 ( o2 ) enhances the level of these amino acids. Development of biofortified maize enriched in proA, lysine and tryptophan thus holds significance in alleviation of micronutrient malnutrition...
2018: Frontiers in Plant Science
https://www.readbyqxmd.com/read/29495096/the-older-patient-s-experience-of-the-healthcare-chain-and-information-when-undergoing-colorectal-cancer-surgery-according-to-the-enhanced-recovery-after-surgery-concept
#14
Katja Schubert Samuelsson, Monika Egenvall, Inga Klarin, Johan Lökk, Ulf Gunnarsson, Marie Iwarzon
AIMS AND OBJECTIVES: To describe how older patients experience the healthcare chain and information given before, during and after colorectal cancer surgery. BACKGROUND: Most persons with colorectal cancer are older than 70 years and undergo surgery with subsequent enhanced recovery programmes aiming to quickly restore preoperative function. However, adaptation of such programmes to suit the older patient has not been made. DESIGN: Qualitative descriptive study...
April 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29387957/interdepartmental-spread-of-innovations-a-multicentre-study-of-the-enhanced-recovery-after-surgery-programme
#15
Jeanny J A de Groot, José M C Maessen, Cornelis H C Dejong, Bjorn Winkens, Roy F P M Kruitwagen, Brigitte F M Slangen, Trudy van der Weijden
BACKGROUND: Spread of evidence-based innovations beyond pioneering settings is essential to improve quality of care. This study aimed to evaluate the influence of a national project to implement 'Enhanced Recovery After Surgery' (ERAS) among colorectal teams on the spread of this innovation to gynaecological procedures. METHODS: A retrospective observational multicentre study was performed of a consecutive sample of patients who underwent major elective gynaecological surgery in 2012-2013...
January 31, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29382673/effectiveness-of-an-internet-based-perioperative-care-programme-to-enhance-postoperative-recovery-in-gynaecological-patients-cluster-controlled-trial-with-randomised-stepped-wedge-implementation
#16
Esther V A Bouwsma, Judith A F Huirne, Peter M van de Ven, Antonie Vonk Noordegraaf, Frederieke G Schaafsma, Steven E Schraffordt Koops, Paul J M van Kesteren, Hans A M Brölmann, Johannes R Anema
OBJECTIVE: To evaluate the implementation and effectiveness of an internet-based perioperative care programme for patients following gynaecological surgery for benign disease. DESIGN: Stepped-wedge cluster randomised controlled trial. SETTING: Secondary care, nine hospitals in the Netherlands, 2011-2014. PARTICIPANTS: 433 employed women aged 18-65 years scheduled for hysterectomy and/or laparoscopic adnexal surgery. INTERVENTIONS: An internet-based care programme was sequentially rolled out using a multifaceted implementation strategy...
January 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29358423/cost-effectiveness-of-an-internet-based-perioperative-care-programme-to-enhance-postoperative-recovery-in-gynaecological-patients-economic-evaluation-alongside-a-stepped-wedge-cluster-randomised-trial
#17
Esther V A Bouwsma, Judith E Bosmans, Johanna M van Dongen, Hans A M Brölmann, Johannes R Anema, Judith A F Huirne
OBJECTIVES: To evaluate the cost-effectiveness and cost-utility of an internet-based perioperative care programme compared with usual care for gynaecological patients. DESIGN: Economic evaluation from a societal perspective alongside a stepped-wedge cluster-randomised controlled trial with 12 months of follow-up. SETTING: Secondary care, nine hospitals in the Netherlands, 2011-2014. PARTICIPANTS: 433 employed women aged 18-65 years scheduled for a hysterectomy and/or laparoscopic adnexal surgery...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29355447/enhanced-recovery-programmes-in-thoracic-surgery-how-does-the-future-look
#18
Marc Giménez-Milà, Guillermo Martinez, Shane George
No abstract text is available yet for this article.
January 1, 2018: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/29336515/expectations-and-experiences-of-patients-with-osteoarthritis-undergoing-total-joint-arthroplasty-an-integrative-review
#19
REVIEW
Min Ting Alicia See, Yanika Kowitlawakul, Apphia Jia Qi Tan, Sok Ying Liaw
BACKGROUND: The effectiveness of educational interventions for osteoarthritic patients undergoing total joint arthroplasty remains inconclusive. It is essential to understand the educational needs of these patients from their perspectives. AIM: The aim of this study was to systematically summarize and synthesize osteoarthritic patients' expectations and experiences in undergoing total joint arthroplasty to identify their educational needs. DESIGN: An integrative review was conducted...
April 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29334872/labelling-as-reference-centre-of-grace-groupe-francophone-de-r%C3%A3-habilitation-am%C3%A3-lior%C3%A3-e-apr%C3%A3-s-chirurgie-for-colorectal-surgery-its-impact-on-the-implementation-of-enhanced-recovery-programme-at-the-university-hospital-of-li%C3%A3-ge
#20
Coralie Daenen, Carla Coimbra, Grégory Hans, Jean Joris
BACKGROUND: Enhanced recovery programme (ERP) has been used in our hospital since 2005 for selected colorectal surgeries. Since October 2015, after labelling as GRACE reference centre, we included all patients scheduled for elective colorectal surgery in this programme. We assessed the impact of our labelling on the implementation of ERP. METHODS: Results of our first 100 patients entered in the GRACE database were analyzed: length of stay, complications, readmission, adherence to the protocol...
January 15, 2018: Acta Chirurgica Belgica
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