Top

Published in:

01-06-2016 | Editorial Perspective

Survival After Emergency General Surgery: What can We Learn from Enhanced Recovery Programmes?

Authors: N. Quiney, G. Aggarwal, M. Scott, M. Dickinson

Published in: World Journal of Surgery | Issue 6/2016

Abstract

Enhanced recovery after surgery (ERAS) has been adopted by many centres and across whole healthcare systems. The results have shown significant reductions in length of stay and postoperative complications. However, there has been very little change in these factors and mortality in emergency surgery. Can we learn from principles of ERAS for emergency abdominal surgery?

Gustaffson UO, Scott MJ, Schwenk W (2013) Guidelines for perioperative care in elective colonic surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg 37(2):259–284. doi:10.1007/s00268-012-1772-0 CrossRef

ERAS compliance group (2015) The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg 261:1153–1159CrossRef

Vardhan KK, Neal KR, Dejong CHC et al (2010) The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr 29(4):434–440CrossRef

Pearse RM, Harrison DA, James P et al (2006) Identification and characterisation of the high risk surgical population in the United Kingdom. Crit Care 10(3):R81CrossRefPubMedPubMedCentral

Al Temimi MH, Griffee M, Enniss TM et al (2012) When is death inevitable after emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg 215(4):503–511CrossRefPubMed

Saunders DI, Murray D, Pichel AC, UK Emergency Laparotomy Network et al (2012) Variations in mortality after emergency laparotomy: the first report of the UK Emergency Laparotomy Network. Br J Anaesth 109(3):368–375CrossRefPubMed

Shapter SL, Paul MJ, White SM (2012) Incidence and estimated annual cost of emergency laparotomy in England: is there a major funding shortfall? Anaesthesia 67(5):474–478CrossRefPubMed

Møller MH, Adamsen S, Thomsen RW et al (2011) Multicentre trial of a perioperative protocol to reduce mortality in patients with peptic ulcer perforation. Br J Surg 98:802–810CrossRefPubMed

Huddart S, Peden CJ, Swart M et al (2015) Use of a pathway quality improvement care bundle to reduce mortality after emergency laparotomy. Br J Surg 102(1):57–66CrossRefPubMedPubMedCentral

10.

Scott MJ, Miller TE (2015) Pathophysiology of major surgery and the role of enhanced recovery pathways and the anesthesiologist to improve outcomes. Anesthesiol Clin 33(1):79–91CrossRefPubMed

11.

Peden C, Scott MJ (2015) Anesthesia for emergency abdominal surgery. Anesthesiol Clin 33(1):209–221CrossRefPubMed

12.

Kumar A, Roberts D, Wood KE et al (2006) Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med 34(6):1589–1596CrossRefPubMed

13.

UK Sepsis Trust (2014) [Internet]. Toolkit: AMU management of sepsis. http://sepsistrust.org/wpcontent/files_mf/1409313292AMUExecSummary2014.pdf. Accessed 26 June 2015

14.

Levy MM, Rhodes A, Phillips GS et al (2015) Surviving Sepsis Campaign: association between performance metrics and outcomes in a 7.5-year study. Crit Care Med 43(1):3–12CrossRefPubMed

15.

Baldini G, Fawcett WJ (2015) Anesthesia for colorectal surgery. Anesthesiol Clin 33(1):93–123CrossRefPubMed

16.

Cecconi M, Corredor C, Arulkumaran N et al (2013) Clinical review: goal-directed therapy—what is the evidence in surgical patients? The effect on different risk groups. Crit Care 17:209CrossRefPubMedPubMedCentral

17.

Khuri SF, Henderson WG, DePalma RG et al (2005) Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg 242(3):326–341PubMedPubMedCentral

18.

Symons NR, Moorthy K, Almoudaris AM et al (2013) Mortality in high-risk emergency general surgical admissions. Br J Surg 100(10):1318–1325CrossRefPubMed

19.

Colvin JR, Peden CJ (2012) Raising the standard: a compendium of audit recipes for continuous quality improvement in anaesthesia, 3rd edn. http://www.rcoa.ac.uk/system/files/CSQ-ARB-2012_0.pdf. Accessed 12 Sept 2015

20.

Steiner SH, Cook RJ, Farewell VT et al (2000) Monitoring surgical performance using risk-adjusted cumulative sum charts. Biostatistics 1(4):441–452CrossRefPubMed

21.

Society for Cardiothoracic Surgeons of Great Britain and Ireland. [Internet]. http://bluebook.scts.org. Accessed 14 May 2015

Title: Survival After Emergency General Surgery: What can We Learn from Enhanced Recovery Programmes?
Authors: N. Quiney
G. Aggarwal
M. Scott
M. Dickinson
Publication date: 01-06-2016
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 6/2016
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3418-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Survival After Emergency General Surgery: What can We Learn from Enhanced Recovery Programmes?

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2016

A Comparison of Laparoscopy and Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis: Reply

Laparoscopic Hiatal Hernia Repair in the Elderly Patient

Editorial Commentary on Bolkan et al. “The Surgical Workforce and Surgical Provider Productivity in Sierra Leone: A Countrywide Inventory”

Injury to Azygos Venous System: A Co-Existing Injury in High-Impact Lethal Trauma

Cholecystectomy Causes Ultrasound Evidence of Increased Hepatic Steatosis

Variation on a Theme: Alternative to Plastic Bag in ALPPS Procedures—Feasibility and Clinical Safety of COVA+™ Membrane in ALPPS Procedure