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Opioid use in colorectal surgery

Opioid use in colorectal surgery – discusses patient satisfaction and multimodal approach – both of which are important in ESR/ESAR (Enhanced Recovery after Surgery)


Maheshwari, K., Cummings, III, K. C., Farag, E., Makarova, N., Turan, A., & Kurz, A. (2016). A temporal analysis of opioid use, patient satisfaction, and pain scores in colorectal surgery. Journal of Clinical Anesthesia34, 661-667. https://doi.org/https://doi-org.lopes.idm.oclc.org/10.1016/j.jclinane.2016.07.005

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Naik, B. I., Tsang, S., Knisely, A., Yerra, S., & Durieux, M. E. (2017). Retrospective case-control non-inferiority analysis of intravenous lidocaine in a colorectal surgery enhanced recovery program. BMC Anesthesiology, (1), doi:10.1186/s12871-017-0306-6


Preoperative carb loading (1st article discusses effects on hyperglycemia – important to consider in diabetic patients)

Kielhorn, B. A., Senagore, A. J., & Asgeirsson, T. (2018). The benefits of a low dose complex carbohydrate/citrulline electrolyte solution for preoperative carbohydrate loading: Focus on glycemic variability. The American Journal of Surgery215, 375-376. https://doi.org/https://doi-org.lopes.idm.oclc.org/10.1016/j.amjsurg.2017.10.029

Makuuchi, R., Sugisawa, N., Kaji, S., Hikage, M., Tokunaga, M., Tanizawa, Y., … Tereshima, M. (2017). Enhanced recovery after surgery for gastric cancer and an assessment of preoperative carbohydrate loading. European Journal of Surgical Oncology43, 210-217. https://doi.org/https://doi-org.lopes.idm.oclc.org/10.1016/j.ejso.2016.07.140

Burch, J. (2016). Preoperative carbohydrate loading in the enhanced recovery pathway. British Journal Of Nursing, 25(12), 669-672.




Fluid Therapy

Phan, T., An, V., D’Souza, B., Rattray, M., Johnston, M., & Cowie, B. (2014). A randomized controlled trial of fluid restriction compared to esophageal Doppler-guided goal-directed fluid therapy in elective major colorectal surgery within an enhanced recovery after surgery program. Anesthesia and Intensive Care, (6), 752.

Rollins, K. E., & Lobo, D. N. (2015). Intraoperative Goal-Directed Fluid Therapy in Elective Major Abdominal Surgery: A Meta-Analysis of Randomized Controlled Trials. Clinical Nutrition34, 226-227. https://doi.org/https://doi-org.lopes.idm.oclc.org/10.1016/S0261-5614(15)30701-9

8. Legrand, G., Ruscio, L., Benhamou, D., & Pelletier-Fleury, N. (2015). Goal-Directed Fluid Therapy Guided by Cardiac Monitoring During High-Risk Abdominal Surgery in Adult Patients: Cost Effective Analysis of Esophageal Doppler and Arterial Pulse Pressure Wave Analysis. Value in Health18, 605-613. https://doi.org/https://doi.org/10.1016/j.jval.2015.04.005

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