Recommendations for modern perioperative care forelective surgery: consensus of panel of exerts-Reference-Cited by-同舟云学术

Recommendations for modern perioperative care forelective surgery: consensus of panel of exerts

Published:2023-02-17 Issue:5 Volume:95 Page:1-13
ISSN:0032-373X
Container-title:Polish Journal of Surgery
language:
Short-container-title:Pol Przegl Chir

Author:

Kłęk Stanisław¹^ORCID,Rymarowicz Justyna²^ORCID,Sobocki Jacek³^ORCID,Banasiewicz Tomasz⁴^ORCID,Pędziwiatr Michał²^ORCID,Dziki Adam⁵^ORCID,Gawrychowski Jacek⁶^ORCID,Jackowski Marek⁷^ORCID,Jankowski Michał⁸^ORCID,Kawecki Dariusz⁹^ORCID,Kielan Wojciech¹⁰^ORCID,Konturek Aleksander¹¹,Mitura Kryspin¹²^ORCID,Murawa Dawid¹³^ORCID,Lorenc Zbigniew¹⁴^ORCID,Matras Przemysław¹⁵^ORCID,Myśliwiec Piotr¹⁶^ORCID,Richter Piotr¹⁷,Słodkowski Maciej¹⁸^ORCID,Strzelczyk Janusz¹⁹,Szczepanik Antoni¹¹,Szczepkowski Marek²⁰,Szura Mirosław²¹^ORCID,Tarnowski Wiesław²²^ORCID,Śmietański Maciej²³,Zegarski Wojciech²⁴,Zieniewicz Krzysztof²⁵^ORCID,Wallner Grzegorz²⁶^ORCID

Affiliation:

1. Clinic of Surgical Oncology, National Institute of Oncology – National Research Institute, Cracow Department, Cracow, Poland

2. Clinic of Endoscopic Surgery, Metabolic Surgery and Soft Tissue Tumors, Cracow

3. Department and Clinic of General Surgery and Clinical Nutrition, Center for Postgraduate Medical Education, Warsaw, Poland

4. Department and Clinic of General Surgery, Endocrine Surgery and Gastrointestinal Oncology of the Poznan University of Medical Sciences, Poznan, Poland

5. Clinic of General and Colorectal Surgery, Medical University of Lodz, Lodz, Poland

6. Department and Clinical Ward of General and Endocrine Surgery of the Specialist Hospital No 2 in Bytom, Poland

7. Clinic of General and Gastrointestinal Surgery and Surgical Oncology of the Collegium Medicum in Bydgoszcz, UMK Torun, Torun, Poland

8. Department of Surgical Oncology of the Collegium Medicum at the Nicolaus Copernicus University in Torun, Poland

9. Department and Clinic of Medical Microbiology, Medical University of Warsaw, Warsaw, Poland

10. 2nd Department and Clinic of General Surgery and Surgical Oncology at the Wroclaw Medical University, Wroclaw, Poland

11. Clinic of Endocrine Surgery of the 3rd Department of General Surgery at the Jagiellonian University Medical College in Cracow, Poland

12. Faculty of Medical Sciences and Health Sciences, Siedlce University of Natural Sciences and Humanities

13. Department of Surgery and Oncology at the Collegium Medicum of the University of Zielona Gora, Poland

14. Clinical Department of General and Colorectal Surgery and Multiple Organ Injury, St Barbara Voivodeship Hospital No 5 in Sosnowiec, Poland

15. Department of General Surgery and Nutritional Treatment SPSK No 4 in Lublin, Clinical Nutrition Laboratory of the Medical University of Lublin, Lublin, Poland

16. 1st Clinic of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland

17. Clinical Department of General Surgery, Surgical Oncology and Gastrointestinal Surgery at the University Hospital in Cracow, Poland

18. Clinic of General Surgery, Endocrine Surgery and Surgical Oncology of the Medical University of Warsaw, Warsaw, Poland

19. Clinic of General Surgery and Transplant Surgery of the Medical University of Lodz, Lodz, Poland

20. Clinic of Colorectal Surgery, General Surgery and Surgical Oncology, Center for Postgraduate Medical Education, Bielanski Hospital in Warsaw, Poland

21. Clinic of Surgery, Faculty of Health Sciences, Jagiellonian University Medical College in Cracow, Poland

22. Clinic of General Surgery, Surgical Oncology and Bariatric Surgery, Center for Postgraduate Medical Education, Prof. W. Orłowski Memorial Hospital in Warsaw, Poland

23. Department of General Surgery, Swissmed Hospital in Gdansk, Poland

24. Institute of Oncology in Bydgoszcz, Poland

25. Department and Clinic of General, Transplant and Liver Surgery of the Medical University of Warsaw, Warsaw, Poland

26. 2nd Department of General Surgery, Gastrointestinal Surgery and Gastrointestinal Cancer Surgery, Medical University of Lublin, Lublin, Poland

Abstract

Introduction: Correct surgical technique and perioperative care are the two factors which can reduce the number of complications, improve treatment outcomes and decrease hospital length of stay. Implementation of enhanced recovery protocols has changed the approach to patient care in some clinical centers. However, significant differences among clinical centers can still be observed and the standard of care has remained unchanged in some of them. Aim: The goal of the expert group was to develop recommendations for modern perioperative care in accordance with the current state of medical knowledge, in order to reduce the number of complications associated with surgical treatment. An additional goal was to optimize and standardize perioperative care among Polish healthcare facilities. Materials and methods: Recommendations presented in this document are based on a comprehensive review of available literature from the PubMed, Medline, and Cochrane Library databases, published from January 1, 1985, to March 31, 2022, with a particular focus on systematic reviews and clinical recommendations of widely recognized scientific associations. The recommendations were formulated in a directive form and assessed using the Delphi method. Results and conclusions: A total number of 34 recommendations for perioperative care were developed. The recommendations cover various aspects of pre-, intra-, and postoperative care. Implementation of guidelines presented in this document allows to improve the outcomes of surgical treatment.

Publisher

Index Copernicus

Subject

General Medicine,Surgery

Link

https://ppch.pl/gicid/pdf/01.3001.0016.2732

Reference161 articles.

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