MedStar Authors catalog › Details for: A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. [Review]
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A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. [Review]

by Cao, Cathy.
Citation: ; Journal of Obstetrics & Gynaecology Canada: JOGC. 41(12):1775-1788, 2019 Dec..Journal: Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.Published: ; 2019; ; ISSN: 1701-2163.Full author list: Cao C; Huang J; Nelson G; Wilson RD.UI/PMID: 30442516.Subject(s): Analgesics/tu [Therapeutic Use] | Time-to-Treatment | Prenatal Care | Pregnancy | Practice Guidelines as Topic | Postoperative Complications/pc [Prevention & Control] | Postoperative Care | Patient Education as Topic | Humans | Gestational Age | Female | Fasting | *Evidence-Based Medicine | *Enhanced Recovery After Surgery | Early Ambulation | Diet, Carbohydrate Loading | *Cesarean Section | Cesarean Section/mt [Methods] | Cesarean Section/ae [Adverse Effects] | Breast Feeding | Anesthesia, ObstetricalInstitution(s): MedStar Washington Hospital CenterDepartment(s): AnesthesiologyActivity type: Journal Article.Medline article type(s): Journal Article | ReviewDigital Object Identifier: (Click here) Abbreviated citation: ; J Obstet Gynaecol Can. 41(12):1775-1788, 2019 Dec.Abstract: Copyright (c) 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.Abstract: There is an increasing body of evidence to support the success of Enhanced Recovery After Surgery (ERAS) for a wide range of surgical procedures. There has been little formalized application, however, of ERAS principles in obstetrical surgery. The aim of this review was to examine the evidence base of perioperative care for patients undergoing CD and to determine the feasibility of developing an ERAS Society guideline for this obstetrical care plan. The literature on enhanced recovery programs was reviewed, including fast track surgery and perioperative care components in the preoperative, intraoperative, and postoperative phases of CD. These studies included RCTs, prospective cohort studies, non-RCT studies, meta-analyses, systematic reviews, reviews, and case studies. This is not a systematic review because each ERAS topic area would require a new question. Certain ERAS elements have the potential to benefit patients undergoing CD. These elements include patient education, preoperative optimization, prophylaxis against thromboembolism, antimicrobial prophylaxis, postoperative nausea and vomiting prevention, hypothermia prevention, perioperative fluid management, postoperative analgesia, ileus prevention, breastfeeding promotion, and early mobilization. ERAS has the potential to be successfully implemented in CD on the basis of the evidence obtained from this review. The knowledge transfer and implementation will require multidisciplinary coordination in the preoperative, intraoperative, and postoperative phases and the development of a formalized ERAS guideline.

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