Ileus primary prevention: Difference between revisions
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*Early mobilization | *Early mobilization | ||
*Avoid insertion of Ryle's tube (nasogastric tube) | *Avoid insertion of Ryle's tube (nasogastric tube) | ||
* | *Prior oral feeding with high carbohydrate solid or liquid solution (preferably 6 hours prior to surgery) | ||
*Administration of clear fluids within 2-3 hours of surgery | *Administration of clear fluids within 2-3 hours of surgery | ||
*Limited parenteral fluids | *Limited parenteral fluids | ||
Revision as of 01:00, 31 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Effective measures for the primary prevention of ileus include early mobilization, early mobilization, avoidance of insertion of Ryle's tube (nasogastric tube), early oral feeding (within 2-3 hours) with high carbohydrate fluid, limited parenteral fluids, avoidance of pain medications such as opiates, epidural catheter for postoperative analgesia.
Primary Prevention
Effective measures for the primary prevention of ileus include:[1][2]
- Early mobilization
- Avoid insertion of Ryle's tube (nasogastric tube)
- Prior oral feeding with high carbohydrate solid or liquid solution (preferably 6 hours prior to surgery)
- Administration of clear fluids within 2-3 hours of surgery
- Limited parenteral fluids
- Avoidance of pain medications such as opiates
- Epidural catheter (Spinal anesthesia) for postoperative analgesia
References
- ↑ Resnick J, Greenwald DA, Brandt LJ (1997). "Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART I". Am. J. Gastroenterol. 92 (5): 751–62. PMID 9149181.
- ↑ Resnick J, Greenwald DA, Brandt LJ (1997). "Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART II". Am. J. Gastroenterol. 92 (6): 934–40. PMID 9177505.