Evidence-Based Anesthesia for Major Gynecologic Surgery  

Oleh:

Bauchat, Jeanette R. ; Habib, Ashraf S.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 33 no. 01 (Mar. 2015), page 173–207 .
Topik: Enhanced recovery; ERAS; Gynecologic surgery; Fast track

Ketersediaan

Perpustakaan FK Nomor Panggil: A34.K Non-tandon: tidak ada Tandon: 1

Lihat Detail Induk

Isi artikel

Studies on enhanced recovery after gynecological surgery are limited but seem to report outcome benefits similar to those reported after colorectal surgery. Regional anesthesia is recommended in enhanced recovery protocols. Effective regional anesthetic techniques in gynecologic surgery include spinal anesthesia, epidural analgesia, transversus abdominis plane blocks, local anesthetic wound infusions and intraperitoneal instillation catheters. Non-opioid analgesics including pregabalin, gabapentin, NSAIDs, COX-2 inhibitors, and paracetamol reduce opioid consumption after surgery. This population is at high risk for PONV, thus, a multimodal anti-emetic strategy must be employed, including strategies to reduce the baseline risk of PONV in conjunction with combination antiemetic therapy.

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