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SAGES

Reimagining surgical care for a healthier world

  • Introduction
  • Preoperative
  • Intraoperative
  • Postoperative
  • Resources
    • Frequently Asked Questions (FAQ)
    • SMART Course Videos
    • Pathways
    • Implementation Timeline

Surgery Type: Bowel

Preoperative Assessment and Optimization Evaluation of medication compliance and control of risk factors: hypertension, diabetes, COPD, smoking, alcohol, asthma, CAD, malnutrition, anemia Psychological preparation for surgery and postoperative recovery: provide written information and e-module link including daily milestones in perioperative pathway (diet and ambulation plan, management of drains) and expectation about duration of hospital stay […]

Posted on
08/10/2015
Surgery Type
Bowel
Building Blocks
Case Studies

Open Abdominal Surgery ERP POST OPERATIVE/ PACU POST OP DAY 1 POST OP DAY 2 Ketorolac 15-30mg Q 6hr ATC (HOLD FOR POOR RENAL FUNCTION OR BLEEDING) Oral acetaminophen 650mg every 6 hours ATC once able to tolerating oral meds Morphine or hydromorphone PCA (no basal dose) Prophylactic antibiotics ARE NOT CONTINUED, unless specific therapeutic […]

Posted on
08/09/2015
Surgery Type
Bowel
Building Blocks
Case Studies

Click to download Colorectal – Perioperative Care (University of Toronto)

Posted on
08/08/2015
Surgery Type
Bowel
Building Blocks
Case Studies

Click to download Pain Management (University of Toronto)

Posted on
08/07/2015
Surgery Type
Bowel
Building Blocks
Case Studies

Click to download HPB – MD Anderson

Posted on
08/06/2015
Surgery Type
Bowel
Building Blocks
Case Studies

Example of patient-friendly information illustrating daily goals for nutrition, pain management, drains, and exercise after bowel surgery. This was created by the McGill Surgical Recovery Group and the McGill University Health Centre (MUHC) Patient Education Office. For each pathway, the same template is used to create patient-friendly materials aligned with procedure-specific daily goals. Image used […]

Posted on
07/14/2015
Surgery Type
Bowel

Table 1 – Summary of the elements of the enhanced recovery program for esophagectomy Pre and Intra-operative Nutritional management Routine nutritionist consultation at time of diagnosis and during neoadjuvant therapy Fast track neoadjuvant chemotherapy to enable greater oral intake (10) Patient education Education booklet provided Web based interactive program provided Pathway is reviewed with patient […]

Posted on
07/14/2015
Surgery Type
Bowel
Building Blocks
Case Studies

SAGES SMART steps for creation and implementation of a care pathway Proposed timeline Actions Suggestions 2 weeks Map all care processes involved in perioperative patient care Assemble a multidisciplinary team. Understanding which areas/services are involved with preparing and caring for the perioperative patient will help identify and include all stakeholders. You should have representation of […]

Posted on
07/14/2015
Surgery Type
Bowel

Preoperative Patient attends preoperative visit with surgeon (1-2 weeks prior to surgery) to discuss post-operative course and expectations Patient attends a separate educational class reaffirming short and long term expectations and recognizing complications Patient given binder with all encompassing information related to perioperative journey Patient given post-op scripts and 2 years of follow up appointments […]

Posted on
07/14/2015
Surgery Type
Bowel
Building Blocks
Case Studies

An ERP starts in a well functioning preoperative clinic. The goal of preoperative optimization is to improve physiologic reserve to better tolerate the incoming stress of surgery. Nutrition: Patients should be referred to a nutritionist if they are at risk for malnutrition and provided with supplementation to optimize stores preoperatively. Routine use of oral nutritional […]

Posted on
07/01/2015
Surgery Type
Bowel
Building Blocks
Preoperative

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SAGES Enhanced Recovery

SAGES improves quality patient care through education, research, innovation and leadership, principally in gastrointestinal and endoscopic surgery.

Representing a worldwide community of more than 6,000 surgeons, SAGES sets the clinical and educational guidelines on standards of practice in various procedures, critical to enhancing patient safety and health.

SAGES Support

SAGES gratefully acknowledges Medtronic for its generous educational grant in support of the SMART Enhanced Recovery Program.

Preoperative
Intraoperative
Postoperative

SAGES Smart Task Force

  • Liane Feldman, Chair
  • Thomas Aloia, Co-Chair
  • Gina Adrales
  • Rajesh Aggarwal
  • Joselin Anandam
  • Conor Delaney
  • Diana Diesen
  • Justin Dimick
  • Julio Fiore Jr.
  • Gerald Fried
  • Pascal Fuchshuber
  • I. Gorgun
  • Alexis Grucela
  • Matthew Hutter
  • Edmundo Inga-Zapata
  • Rohan Joseph
  • Deborah Keller
  • Anne Lidor
  • David Liska
  • Sumeet Mittal
  • Charles Paget III
  • Michele Riordon
  • Vadim Sherman
  • Andrew Wright
  • Tonia Young-Fadok
  • Yulia Zak

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

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