Date of Award
Spring 5-7-2022
Document Type
DNP Project
Project Team Faculty Member
mzerlan@siue.edu
Project Team Faculty Member
Kay Gaehle, PhD, RN
Project Team Faculty Member
Adam Schneider, DNP, CRNA, APN
Keywords
ERAS preoperative management, ERAS postoperative management, enhanced recovery pathways in orthopedic surgery, enhanced recovery pathways in bowel surgery, postoperative multimodal management, ERAS hydration
Abstract
Enhanced Recovery After Surgery (ERAS) is described as an evidence-based, patient-centered, interdisciplinary team developed protocol utilized to decrease the patient’s stress response to surgery, maintain preoperative physiologic function, and expedite recovery (American Association of Nurse Anesthetists [AANA], 2017). Existing evidence displayed the benefits of utilizing ERAS protocols in various surgical procedures, including general and orthopedic cases. Studies showed one must employ the preoperative, intraoperative, and postoperative components of the ERAS protocols to achieve maximum benefits. A critical access hospital in Illinois utilized some components of ERAS protocols, mainly the intraoperative portions, but lacked the full utilization. Goals of the review included obtaining current evidence-based practices regarding preoperative hydration and multimodal analgesic management for general abdominal surgery and orthopedic surgery. A voiceover PowerPoint and protocol summarizing fluid management and multimodal analgesic management findings and implications for practice was emailed to the designated providers. Once providers viewed the information, the providers evaluated via an anonymous survey. The goal of improving the knowledge of the healthcare providers regarding these topics was proven successful via the post-implementation survey. The evidence displayed the tremendous impact ERAS protocols can have on practice.
Recommended Citation
Wolff, Kristin and Spilker, Sadie, "Development and Evaluation of Enhanced Recovery After Surgery protocols for General Abdominal and Orthopedic Surgery with Focus on Preoperative Hydration and Multimodal Management in Preoperative and Postoperative Phases" (2022). Doctor of Nursing Practice Projects. 184.
https://spark.siue.edu/dnpprojects/184
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