Ileus primary prevention
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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.