Ileus primary prevention: Difference between revisions
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==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> | 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) | ||
Revision as of 01:01, 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][3]
- 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.
- ↑ 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.