Anesthesia, Colorectal, Early Mobilization, Enhanced Recovery After Surgery, Surgery-Complications
Conditions
Keywords
early mobilization, Enhanced Recovery After Surgery, PONV prophylaxis, fluid management, pain management
Brief summary
Early mobilization is an important factor in increasing postoperative colorectal surgeries outcome. There are four components held by anesthesiologist in Enhanced Recovery After Surgery protocol for colorectal surgery in our hospital: post operative nausea and vomiting (PONV) prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management. Although early mobilization affected by postoperative pain, vomiting and nausea, and fluid balance management, nonetheless, there is no clear evidence of how much each of these components will affect early mobilization.
Detailed description
Early mobilization is an important factor in increasing postoperative colorectal surgeries outcome. There are four components held by anesthesiologist in ERAS protocol for colorectal surgery in our hospital: PONV prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management. Although early mobilization affected by postoperative pain, vomiting and nausea, and fluid balance management, nonetheless, there is no clear evidence of how much each of these components will affect early mobilization. This study was a retrospective cohort study by collecting secondary data from patients underwent elective colorectal surgery in our hospital from January 2020 to December 2022. The outcomes assessed were early mobilization rate and factors affecting it (PONV prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management).
Interventions
PROCEDUREEarly mobilization
Patients who received early mobilization in postoperative period
PROCEDURENo early mobilization
Patients who did not receive early mobilization in postoperative period
Sponsors
Indonesia University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patient underwent colorectal surgery in Cipto Mangunkusumo Hospital from 2020 to 2022 * Age 18-60 years old * American Society of Anesthesiologist (ASA) physical status 1, 2, and 3
Exclusion criteria
* Patients who were not intubated on postoperative period * Patients who had physical limitation during preoperative mobility test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early mobilization | Within 24 hours after surgery | Number of patients who can walk within 24 hours after surgery |
| PONV prophylaxis | Given during intraoperative period | Number of patients who received prophylaxis given for PONV |
| Multimodal analgesia | Given during intraoperative period | Number of patients who got multimodal analgesia, which consists of epidural anesthesia or peripheral nerve block |
| Intraoperative fluid management | Given during intraoperative period | Number of patients who achieved fluid balance of zero or near zero |
| Postoperative pain management | Immediately after surgery until discharge, assessed until hospital discharge, up to 50 days | Number of patients who received postoperative pain management without opioid |
Countries
Indonesia
Outcome results
None listed