Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy
<p><strong>Introduction</strong>: The perioperative period in elective surgery evolves up to reducing immune and metabolic stress caused by surgical trauma and achieving early recovery. Gynecological diseases are a global health concern in which rehabilitation and early return to d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2021-02-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://www.revanestesia.sld.cu/index.php/anestRean/article/view/734 |
| _version_ | 1819153222026133504 |
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| author | Reynier Soria Pérez María Oslaida Agüero Martínez Joanna de Armas Mestre Yaelis Nuñez Alonso Javier Hernández Rodríguez. |
| author_facet | Reynier Soria Pérez María Oslaida Agüero Martínez Joanna de Armas Mestre Yaelis Nuñez Alonso Javier Hernández Rodríguez. |
| author_sort | Reynier Soria Pérez |
| collection | DOAJ |
| description | <p><strong>Introduction</strong>: The perioperative period in elective surgery evolves up to reducing immune and metabolic stress caused by surgical trauma and achieving early recovery. Gynecological diseases are a global health concern in which rehabilitation and early return to daily life is essential in reducing morbidity. There are no guides and manuals in Cuba that provide methodological guidelines for the implementation of these protocols.</p><p><strong>Objective</strong>: To determine the effectiveness of implementing accelerated recovery protocols in patients undergoing abdominal hysterectomy.</p><p><strong>Methods</strong>: An analytical and observational case-control study was carried out in patients undergoing abdominal hysterectomy at Julio M. Aristegui Villamil General Teaching Hospital in 2017. The following variables were used: age groups, oral intake time, ambulation onset time, pain onset time, glycemic variation, presence of nausea, vomiting and complications, hospital stay.</p><p><strong>Results</strong>: Age between 41 and 60 years predominated in both groups. In the case group, there was a prevalence of oral intake time at four hours and of early ambulation, according to the scheme, within the first three hours. A higher incidence of pain was reported in the control group, together with glycemic variability, apart from reports of nausea, vomiting and complications such as fever and paralytic ileus. An average hospital stay of 24 hours was achieved in the case group, while it was longer in the traditional group.</p><p><strong>Conclusions</strong>: The designed work protocol contributed to early recovery.</p><p><strong>Keywords</strong>: accelerated recovery; fasting; pain; complications.</p> |
| first_indexed | 2024-12-22T15:01:45Z |
| format | Article |
| id | doaj.art-8dfbea686cb0430abe8e9ff70bceb678 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-22T15:01:45Z |
| publishDate | 2021-02-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-8dfbea686cb0430abe8e9ff70bceb6782022-12-21T18:22:07ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182021-02-01202621Implementation of the Accelerated Recovery Protocol in Abdominal HysterectomyReynier Soria Pérez0María Oslaida Agüero Martínez1Joanna de Armas Mestre2Yaelis Nuñez Alonso3Javier Hernández Rodríguez.4Hospital Julio M. Aristegui VillamilHospital Hermanos AmeijeirasHospital Julio M. Aristegui VillamilHospital Julio M. Aristegui VillamilHospital Clínico Quirúrgico Comandante Fautino Pérez<p><strong>Introduction</strong>: The perioperative period in elective surgery evolves up to reducing immune and metabolic stress caused by surgical trauma and achieving early recovery. Gynecological diseases are a global health concern in which rehabilitation and early return to daily life is essential in reducing morbidity. There are no guides and manuals in Cuba that provide methodological guidelines for the implementation of these protocols.</p><p><strong>Objective</strong>: To determine the effectiveness of implementing accelerated recovery protocols in patients undergoing abdominal hysterectomy.</p><p><strong>Methods</strong>: An analytical and observational case-control study was carried out in patients undergoing abdominal hysterectomy at Julio M. Aristegui Villamil General Teaching Hospital in 2017. The following variables were used: age groups, oral intake time, ambulation onset time, pain onset time, glycemic variation, presence of nausea, vomiting and complications, hospital stay.</p><p><strong>Results</strong>: Age between 41 and 60 years predominated in both groups. In the case group, there was a prevalence of oral intake time at four hours and of early ambulation, according to the scheme, within the first three hours. A higher incidence of pain was reported in the control group, together with glycemic variability, apart from reports of nausea, vomiting and complications such as fever and paralytic ileus. An average hospital stay of 24 hours was achieved in the case group, while it was longer in the traditional group.</p><p><strong>Conclusions</strong>: The designed work protocol contributed to early recovery.</p><p><strong>Keywords</strong>: accelerated recovery; fasting; pain; complications.</p>http://www.revanestesia.sld.cu/index.php/anestRean/article/view/734recuperación aceleradaayunodolorcomplicaciones. |
| spellingShingle | Reynier Soria Pérez María Oslaida Agüero Martínez Joanna de Armas Mestre Yaelis Nuñez Alonso Javier Hernández Rodríguez. Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy Revista Cubana de Anestesiología y Reanimación recuperación acelerada ayuno dolor complicaciones. |
| title | Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy |
| title_full | Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy |
| title_fullStr | Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy |
| title_full_unstemmed | Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy |
| title_short | Implementation of the Accelerated Recovery Protocol in Abdominal Hysterectomy |
| title_sort | implementation of the accelerated recovery protocol in abdominal hysterectomy |
| topic | recuperación acelerada ayuno dolor complicaciones. |
| url | http://www.revanestesia.sld.cu/index.php/anestRean/article/view/734 |
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