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Reimagining surgical care for a healthier world

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Daily care maps, Discharge criteria

Beginning in the surgeon’s office and continued with the preoperative clinic education, the patient and their family are provided with the daily plan for each day of hospitalization. These include milestones to achieve for diet and activities, information about management of pain and drains and the target discharge day if all goes well. These are consistent with the nursing protocols and the medical orders. The consistency reinforces patient autonomy and encourages them to question if the pathway is not proceeding according to what was expected. Patients are encouraged to bring the information with them to hospital. Large posters on the ward can be used to reinforce the information. Patients, nurses and house staff are also aware of discharge criteria. This addresses concerns that ERPs are primarily tools to reduce hospital stay as milestones for recovery need to be met. Patients without complications can reach discharge criteria on POD 2-3 for colon surgery, 3-4 for rectal surgery, POD1-2 for bariatric surgery, and POD 6-7 for esophageal resection.

MUHC Daily Care Map Example


For more information, see Chapter 16: Hospital Recovery and Full Recovery in The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery



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Surgery Type
Bowel
Building Blocks
Postoperative

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.

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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

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

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