AB177. SOH24AB_200. Assessment of pre-, peri-, and post-surgical practices for colorectal patients in an acute hospital setting
Anaesthesia Poster Session

AB177. SOH24AB_200. Assessment of pre-, peri-, and post-surgical practices for colorectal patients in an acute hospital setting

Gavin O’Connor1, Róisín Taplin2, Clodagh Murphy3

1Department of Anaesthesia, University Hospital Limerick, Dooradoyle, Limerick, Ireland; 2Department of Endocrinology, University Hospital Limerick, Dooradoyle, Limerick, Ireland; 3Department of Dietetics, University Hospital Limerick, Dooradoyle, Limerick, Ireland

Background: The enhanced recovery after surgery (ERAS) protocol is a set of international guidelines established to expedite patients’ discharge after colorectal surgery. It does this by aiming to prevent postoperative complications early, and return the patient to normal function allowing earlier discharge. Complications such as nausea, venous thromboembolism, ileus and pain are common after surgery to name a few, and delay discharge. Early treatment and prevention of these complications however is suggested to aid a patients’ return to home at earlier rates than traditional practice.

Methods: A prospective chart review and questionnaire was performed on patients undergoing colorectal surgery in University Hospital Limerick (UHL) in a 6-month period from February to September 2023. Patients were approached on the 3rd day postoperatively and informed about the project. Exclusion criteria included patients who went to high dependency unit (HDU) or intensive care unit (ICU) postoperatively.

Results: In total, 33 patients were recruited. A target of greater than 70% compliance was reached for a variety of the elements of the ERAS protocol such as laparoscopic surgery, preoperative assessments, nutritional drinks, enoxaparin and oral intake within 24 hours of surgery, intraoperative antiemetics and 24-hour prophylactic antibiotics. Unsatisfactory compliance was found with documentation of intraoperative antibiotics and preoperative gabapentin usage.

Conclusions: UHL has a satisfactory compliance of over 70% with a large variety of elements of the ERAS protocol. Areas of improvement required include documentation of intraoperative antibiotics and preoperative gabapentin usage. With the collective effort of the multidisciplinary team, along with education, the ERAS protocol can successfully be applied and implemented in a model 4 hospital in Ireland.

Keywords: Enhanced recovery after surgery (ERAS); anaesthesia; colorectal surgery; dietetics

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab177
Cite this abstract as: O’Connor G, Taplin R, Murphy C. AB177. SOH24AB_200. Assessment of pre-, peri-, and post-surgical practices for colorectal patients in an acute hospital setting. Mesentery Peritoneum 2024;8:AB177.

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