Our experience in perioperative medicine in patients with colorectal surgery

Abstract

Aim: ERAS (Enhanced Recovery After Surgery) programmes have been becoming more important day by day. Researchers should compose convenient programmes according to the conditions of surgical centers. In this study we aimed to demonstrate our experience on enhanced recovery protocol. Material and Methods: Walking and respiratory excercises for physical status and information meetings with patients and relatives for mental status were done to optimize the patient before operation. Patients were received perioperative central block (either spinal or epidural) analgesia. After operation patients were followed up at surgical intensive care unit and surgery ward. Pain scores and clinical status of the patients were evaluated. Results: A total of 65 patients were included in this retrospective study. Numerical Rating Scale scores were significantly lower in thoracal epidural analgesia than spinal analgesia at 6., 12., 24., 48. hours (p=0.036; p=0.002; p=0.002; p=0.003 respectively). Early mobilizated patients oral intake and first floating time were much earlier. Conclusions: We determined positive qualitative clinical impacts on patients. Controlling patients pain at postoperative period is very important part of an enhanced recovery programme. Our protocol was about colorectal surgeries but we believe that enhanced recovery programmes should be used in different types of surgeries widespread. Keywords: Colorectal surgeries; enhanced recovery; pain; spinal; thoracal epidural