Ileus secondary prevention: Difference between revisions
Jump to navigation
Jump to search
Akshun Kalia (talk | contribs) No edit summary |
Akshun Kalia (talk | contribs) No edit summary |
||
| Line 9: | Line 9: | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
Effective measures for the secondary prevention of ileus include:<ref name="Lassen2009">{{cite journal|last1=Lassen|first1=Kristoffer|title=Consensus Review of Optimal Perioperative Care in Colorectal Surgery|journal=Archives of Surgery|volume=144|issue=10|year=2009|pages=961|issn=0004-0010|doi=10.1001/archsurg.2009.170}}</ref><ref name="Kehlet2008">{{cite journal|last1=Kehlet|first1=Henrik|title=Postoperative ileus—an update on preventive techniques|journal=Nature Clinical Practice Gastroenterology & Hepatology|volume=5|issue=10|year=2008|pages=552–558|issn=1743-4378|doi=10.1038/ncpgasthep1230}}</ref><ref name="Bundgaard-NielsenHolte2007">{{cite journal|last1=Bundgaard-Nielsen|first1=M.|last2=Holte|first2=K.|last3=Secher|first3=N. H.|last4=Kehlet|first4=H.|title=Monitoring of peri-operative fluid administration by individualized goal-directed therapy|journal=Acta Anaesthesiologica Scandinavica|volume=51|issue=3|year=2007|pages=331–340|issn=0001-5172|doi=10.1111/j.1399-6576.2006.01221.x}}</ref><ref name="PatelPanchagnula2012">{{cite journal|last1=Patel|first1=Santosh|last2=Panchagnula|first2=Umakanth|last3=Lutz|first3=JanM|last4=Bansal|first4=Sujesh|title=Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1)|journal=Journal of Anaesthesiology Clinical Pharmacology|volume=28|issue=2|year=2012|pages=162|issn=0970-9185|doi=10.4103/0970-9185.94831}}</ref><ref name="AdaminaKehlet2011">{{cite journal|last1=Adamina|first1=Michel|last2=Kehlet|first2=Henrik|last3=Tomlinson|first3=George A.|last4=Senagore|first4=Anthony J.|last5=Delaney|first5=Conor P.|title=Enhanced recovery pathways optimize health outcomes and resource utilization: A meta-analysis of randomized controlled trials in colorectal surgery|journal=Surgery|volume=149|issue=6|year=2011|pages=830–840|issn=00396060|doi=10.1016/j.surg.2010.11.003}}</ref> | |||
*The choice of analgesia and anesthesia for post surgical pain may reduce the morbidity and mortality associated with postoperative ileus. | |||
**In patients with severe pain, local spinal anesthesia via epidural approach has been observed with increased colonic blood flow and early return of GI function. | |||
**Use of NSAIDs (such as IV ketorolac) as a baseline analgesic with avoidance of opioid anesthesia and analgesia. | |||
*Postoperative nausea and vomiting is a common complication of abdominal surgeries and can be prevented with the use of medications such as serotonin receptor antagonist and dexamethasone at induction. | |||
*Early mobilization and ambulation with removal of urinary within 24 to 48 hours of surgery with avoidance of nasogastric tubes and abdominal drains. | |||
*Recent studies have shown that patients of postoperative ileus who chew gum have an increased activation of neural and hormonal mechanisms leading to increased fluid secretion and early return of GI motility. | |||
*Use of osmotic and stimulant laxatives (such as bisacodyl suppository) may also lead to early reversal of postoperative ileus. | |||
*Minimal invasive surgeries may prevent the severity of ileus seen in post-opertaive states. Surgical procedures done via laproscopy are associated with early return of GI function whereas laprotomy is associated with increased severity and incidence of paraltyic ileus. | |||
* | |||
*Recent studies have shown that | |||
*Use of osmotic and stimulant laxatives (such as bisacodyl suppository)may also lead to early reversal of postoperative ileus. | |||
==References== | ==References== | ||
Revision as of 01:40, 31 January 2018
|
Ileus Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Ileus secondary prevention On the Web |
|
American Roentgen Ray Society Images of Ileus secondary prevention |
|
Risk calculators and risk factors for Ileus secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Effective measures for the secondary prevention of [disease name] include [strategy 1], [strategy 2], and [strategy 3].
Secondary Prevention
Effective measures for the secondary prevention of ileus include:[1][2][3][4][5]
- The choice of analgesia and anesthesia for post surgical pain may reduce the morbidity and mortality associated with postoperative ileus.
- In patients with severe pain, local spinal anesthesia via epidural approach has been observed with increased colonic blood flow and early return of GI function.
- Use of NSAIDs (such as IV ketorolac) as a baseline analgesic with avoidance of opioid anesthesia and analgesia.
- Postoperative nausea and vomiting is a common complication of abdominal surgeries and can be prevented with the use of medications such as serotonin receptor antagonist and dexamethasone at induction.
- Early mobilization and ambulation with removal of urinary within 24 to 48 hours of surgery with avoidance of nasogastric tubes and abdominal drains.
- Recent studies have shown that patients of postoperative ileus who chew gum have an increased activation of neural and hormonal mechanisms leading to increased fluid secretion and early return of GI motility.
- Use of osmotic and stimulant laxatives (such as bisacodyl suppository) may also lead to early reversal of postoperative ileus.
- Minimal invasive surgeries may prevent the severity of ileus seen in post-opertaive states. Surgical procedures done via laproscopy are associated with early return of GI function whereas laprotomy is associated with increased severity and incidence of paraltyic ileus.
References
- ↑ Lassen, Kristoffer (2009). "Consensus Review of Optimal Perioperative Care in Colorectal Surgery". Archives of Surgery. 144 (10): 961. doi:10.1001/archsurg.2009.170. ISSN 0004-0010.
- ↑ Kehlet, Henrik (2008). "Postoperative ileus—an update on preventive techniques". Nature Clinical Practice Gastroenterology & Hepatology. 5 (10): 552–558. doi:10.1038/ncpgasthep1230. ISSN 1743-4378.
- ↑ Bundgaard-Nielsen, M.; Holte, K.; Secher, N. H.; Kehlet, H. (2007). "Monitoring of peri-operative fluid administration by individualized goal-directed therapy". Acta Anaesthesiologica Scandinavica. 51 (3): 331–340. doi:10.1111/j.1399-6576.2006.01221.x. ISSN 0001-5172.
- ↑ Patel, Santosh; Panchagnula, Umakanth; Lutz, JanM; Bansal, Sujesh (2012). "Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1)". Journal of Anaesthesiology Clinical Pharmacology. 28 (2): 162. doi:10.4103/0970-9185.94831. ISSN 0970-9185.
- ↑ Adamina, Michel; Kehlet, Henrik; Tomlinson, George A.; Senagore, Anthony J.; Delaney, Conor P. (2011). "Enhanced recovery pathways optimize health outcomes and resource utilization: A meta-analysis of randomized controlled trials in colorectal surgery". Surgery. 149 (6): 830–840. doi:10.1016/j.surg.2010.11.003. ISSN 0039-6060.