Presented by Anthony Senagore, MD at the SAGES 2014 Meeting; Panel – Enhanced Recovery Postgraduate Course
citation–32 sec http://www.ncbi.nlm.nih.gov/pubmed/?term=18954782
approaches to reducing morbidity in colectomy–3:24
taxonomy of complications with citation–4:28 http://www.ncbi.nlm.nih.gov/pubme
Keyword(s): 23 hr stay protocol, AAMC, abdominal abscess, abdominal surgery, abscess, absorb, ABX, accelerated gastric emptying, accelerated postop recovery, accordion severity grading system, activities, acute pain control, administrators, adoption, AFC study, AJHP, Alvimopan, ambulate, American Journal of Gastroenterology, amortized, amount of opoids, analgesia, anastomotic leak, anastomotic stricture, Annals of Surgery, approaches to reducing morbidity in colectomy, arithmetic LOS, averted, balanced salt solution, benefits to the pt, bowel obstruction, bowel prep, bowel surgery, breakthrough, British Journal of Surgery, business case, Canadian Journal of Surgery, care plan, categories, central line, clinical annotations, clinical consequences, clinical leak, clinical trial, co-morbidities, co-morbidity, colectomy discharge, colleagues, colon and rectal anastomoses, colorectal surgery, compete with other providers, complex abdominal and pelvic colorectal surgery, components, compromise, concensus, consistent, contract, control group, cost effectiveness, cost of complication vs cost of mitigation, cost reduction, cost savings, cost structure, costs, critical point, critical thinking, cryptic data, cryptic value, CT scan, Cubist Pharmaceuticals, D/C criteria, data, death, decreased costs, dehiscense, dehydration, delayed dx, delayed gastric emptying, delays, devise, dialysis, discharge instructions, Diseases of the Colon and Rectum, DRGs, economic consequences, economic payments, Edwards Life Sciences, effective, emergency operations, endoscopic, enhance recover, enhanced recovery program, entire cohort, epidural, epidural anaesthesia, episode costs, ER, ERAS, ERP, ERP standardized order set, Ethicon Endosurgery, evidence-based, expanded, expensive, extent of bowel manip, facility, factor, false negative, fast track, fast track postop management protocol, fast track protocol, faster, safer discharge, fentanyl, fever, fewer resources, focus care, full liquids, Gabapentin, gender, general anesthesia, general surgery, geometric LOS, ghrelin, goal, goal directed fluid management, goal-directed administration, guided intraop fluid management, HALS, Hb, healthy, hemorrhage, hetastarch, high co-morbidity, higher standard of care, home care, hospital, ibuprofen, ICU, ileus, image guided procedure, impact, implement, incisional hernia, increased cost, induces MMCs, inexpensive strategies, institution, instruction sheet, internally, intestinal surgery, IV Toradol, IV Tylenol, IVs, JACS, Journal of the American College of Surgeons, lap colectomy, lap colorectal surgery, lap segmental colectomy, laparoscopic intestinal surgery, leak, learning process, LOS, lowest common denominator, major abdominal operations, make money, managing complications, marcaine, matched non-readmitted cases, mean LOS, Mederi Therapeutics, median LOS, meta-analysis, migration of DRG, minimize complications, money savings, mortality, Motrin, MSQC, multicenter study, multimodal care, multimodality approach, multiple mechanisms, N&V, negative cost structure, Neurontin, no adverse event, no complications, no predictors, no routine use of drains, nongastric abdominal surgery, NPO, odds ratio, op time, open colectomy, open patients, open surgery, opening wound, oral ABX, oral narcotic, oral regimen, outcome of discharge, pain control, parenteral therapy, participate, passing flatus, pathogenesis, payment, PCA, PE, pelvic abscess, per episode, periop steroids, plan, population, postop ileus, postop NG, pre-emptive thoracic epidural, precious resources, prediction of hospital readmission, preop education, preventable, preventable complications, preventable costs, prioritizing quality improvement, process measures vs outcomes, programs, prospective, prospective evaluation, pruritis, pt age, pt health, quality pt management, race, radiological leak, randomized assessment, RCT, reasons for readmit, recent studies, reduce migration of higher cost structures, reimbursement, remove Foley POD1, resections, restrictive narcotic dose, retrospectively, risk factors, risk factors for POI, routine drainage, rules, safely, scheduled narcotic sparing analgesics, SCIP, sedation, self-analysis, severe organ failure, severe, invasive procedure, shorter primary LOS, signficant complication, spending money, SSI, stoma, stomal complication, superficial infection, surgical causes, surgical complications, surgical site, systematic review, systemic infections, taxonomy of complications, taxonomy of cost, therapy, third arm, tolerating solid food, total bed day consumption, total cost of care, TPN, track, trajectory, transfusion, treated, trials, true outcomes, Tylenol, Tylox, U.S. data, unplanned readmission, unpredictable, UR, urgency, urinary complication, use of drains, variable, VAS pain, WBC, weight, workup, World Journal of Surgery, wound infection
