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March 1, 2011British Journal of Hospital Medicine

Enhanced recovery programme in colorectal surgery: a challenging approach

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Key result

The enhanced recovery programme in colorectal surgery reduces the length of hospital stay from 7-10 days to 3-5 days compared to traditional care.

Why the study?

Does an enhanced recovery programme reduce length of hospital stay and improve recovery in patients undergoing major colorectal surgery?

Population

Patients undergoing major colorectal surgery

Comparison

Enhanced recovery programme vs Traditional perioperative care

Design

Review

Authors

HMHH MarzookSAS. Anwar

Discussion

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Overview

May support shorter colorectal surgery stays with enhanced recovery; leaves open confirmation in prospective randomized trials.

Structured PICO

Does an enhanced recovery programme reduce length of hospital stay and improve recovery in patients undergoing major colorectal surgery?

P
Population
Patients undergoing major colorectal surgery
I
Intervention
Enhanced recovery programme (multimodal rehabilitation programme including preoperative counselling, avoidance of routine bowel preparation, carbohydrate loading, short-acting anaesthesia, mid-thoracic epidural, early feeding, and early mobilization)
C
Comparator
Traditional perioperative care (e.g., fasting from midnight, routine bowel preparation, nasogastric tubes, drains, delayed feeding)
O
Outcome
Length of postoperative hospital stay and postoperative recoveryhard clinical

The enhanced recovery programme in colorectal surgery significantly reduces length of hospital stay and postoperative morbidity by challenging traditional non-evidence-based perioperative practices.

Limitations

  • Mid-thoracic epidural provides good analgesia but has pitfalls such as hypotension, technical failure in about half the patients, and difficulty in mobilizing.

Cite This Study

Marzook et al. (2011) conducted a review in Colorectal surgery. Enhanced recovery programme vs. Traditional care was evaluated. The enhanced recovery programme in colorectal surgery reduces the length of hospital stay from 7-10 days to 3-5 days compared to traditional care.

synapsesocial.com/papers/6a993ed77384e28de71ffb0bhttps://doi.org/10.12968/hmed.2011.72.3.151
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