Ileus primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures for the [[primary prevention]] of ileus include early mobilization, avoidance of Ryle's tube ([[nasogastric tube]]), prior oral [[feeding]] with high [[carbohydrate]] solid or liquid solution (preferably 6 hours prior to surgery), limited [[parenteral]] fluids, avoidance of [[pain]] medications such as [[opiates]], and use of [[epidural anesthesia]] for postoperative [[analgesia]]. | Effective measures for the [[primary prevention]] of ileus include early mobilization, avoidance of Ryle's tube ([[nasogastric tube]]), prior oral [[feeding]] with high [[carbohydrate]] solid or liquid solution (preferably 6 hours prior to [[surgery]]), limited [[parenteral]] fluids, avoidance of [[pain]] medications such as [[opiates]], and use of [[epidural anesthesia]] for postoperative [[analgesia]]. | ||
==Primary Prevention== | ==Primary Prevention== | ||
Effective measures for the primary prevention of ileus include:<ref name="pmid9149181">{{cite journal |vauthors=Resnick J, Greenwald DA, Brandt LJ |title=Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART I |journal=Am. J. Gastroenterol. |volume=92 |issue=5 |pages=751–62 |year=1997 |pmid=9149181 |doi= |url=}}</ref><ref name="pmid9177505">{{cite journal |vauthors=Resnick J, Greenwald DA, Brandt LJ |title=Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART II |journal=Am. J. Gastroenterol. |volume=92 |issue=6 |pages=934–40 |year=1997 |pmid=9177505 |doi= |url=}}</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> | Effective measures for the [[primary prevention]] of ileus include:<ref name="pmid9149181">{{cite journal |vauthors=Resnick J, Greenwald DA, Brandt LJ |title=Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART I |journal=Am. J. Gastroenterol. |volume=92 |issue=5 |pages=751–62 |year=1997 |pmid=9149181 |doi= |url=}}</ref><ref name="pmid9177505">{{cite journal |vauthors=Resnick J, Greenwald DA, Brandt LJ |title=Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: PART II |journal=Am. J. Gastroenterol. |volume=92 |issue=6 |pages=934–40 |year=1997 |pmid=9177505 |doi= |url=}}</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> | ||
*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 six hours prior to [[surgery]]) | *Prior oral [[feeding]] with high [[carbohydrate]] solid or liquid solution (preferably six 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 | ||
*Avoidance of pain [[medications]] such as [[opiates]] | *Avoidance of pain [[medications]] such as [[opiates]] | ||
| Line 23: | Line 23: | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
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Revision as of 18:12, 28 February 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, avoidance of Ryle's tube (nasogastric tube), prior oral feeding with high carbohydrate solid or liquid solution (preferably 6 hours prior to surgery), limited parenteral fluids, avoidance of pain medications such as opiates, and use of epidural anesthesia for postoperative analgesia.
Primary Prevention
Effective measures for the primary prevention of ileus include:[1][2][3]
- Early mobilization
- Avoid insertion of Ryle's tube (nasogastric tube)
- Prior oral feeding with high carbohydrate solid or liquid solution (preferably six 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.
- ↑ 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.