Enhanced Recovery After Surgery in Colorectal Surgery: A Large-Scale Quality Improvement Project
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Surgery
- Sponsor
- Vanderbilt University Medical Center
- Enrollment
- 664
- Locations
- 1
- Primary Endpoint
- Incidence of surgical site infection
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.
Detailed Description
Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This large quality improvement project will compare outcomes after standard perioperative practice with those after the implementation of a multi-modal evidence based care pathway, including standardized preoperative preparation, perioperative goal-directed fluid therapy (GFDT), multi-modal perioperative pain management, post operative nausea and vomiting prevention, surgical care and bowel isolation, and surgical site infection prevention. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.
Investigators
Matthew McEvoy
Associate Professor of Anesthesiology
Vanderbilt University Medical Center
Eligibility Criteria
Inclusion Criteria
- •All patients who underwent colorectal surgery at Vanderbilt University Medical Center and whose data is stored in the perioperative data warehouse.
Exclusion Criteria
- •Age \<18 years
- •Weight \<40 kg
Outcomes
Primary Outcomes
Incidence of surgical site infection
Time Frame: Up to 30 days postoperative
Secondary Outcomes
- Analgesia consumption(Up to 30 days postoperative)
- Hospital Length of stay (days)(Up to 30 days post operative)
- Systemic vascular resistance(1 day)
- Time on ventilator(Up to 30 days postoperative)
- Post operative anti emetic consumption(Up to 30 days postoperative)
- Stroke volume(1 day)
- Post operative pain assessment using 11-point Numeric Pain Rating Scale (NRS)(Up to 30 days postoperative)
- Occurrence of postoperative complications(Up to 30 days postoperative)
- Cardiac Index(1 day)
- Heart rate(1 day)
- ICU length of stay(Up to 30 days postoperative)