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Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature

Year 2022, Volume: 4 Issue: 2, 87 - 96, 30.06.2022

Tuğba Kınay , Müjde Can İbanoğlu , Yaprak Ustun

https://doi.org/10.46969/EZH.1076419

Abstract

Enhanced Recovery After Surgery (ERAS) programs have been improved surgical outcomes in many surgical sub-specialties, since the early 2000s. This multidisciplinary standardized care program aimed to optimize preoperative, intraoperative, and postoperative care of patients undergoing surgery. Recent reports showed that the ERAS protocols have been successfully implemented in cesarean deliveries. The key elements of ERAS program in cesarean delivery are antenatal education/counseling, preoperative medical optimization, preanesthetic medication, limited fasting time, carbohydrate supplementation, intraoperative anesthetic management, surgical site infection prophylaxis, maintenance of normothermia and euvolemia, appropriate surgical technique, newborn care, postoperative analgesia, prevention of nausea and vomiting, early feeding, early mobilization, thromboembolism prophylaxis, glucose management, urinary management, and discharge counseling. The implementation of these elements resulted with improved maternal/neonatal outcomes and reduced length of hospital stay. However, the current literature on this topic is not enough to develop a standardized globally implemented ERAS protocol for cesarean delivery. Further studies are required to enhance the care program and recommendations.

Keywords

Cesarean delivery enhanced recovery after surgery intraoperative preoperative postoperative

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Sezaryen Doğumda Gelişmiş Cerrahi Sonrası İyileşme Programları: Literatür Taraması

Year 2022, Volume: 4 Issue: 2, 87 - 96, 30.06.2022

Tuğba Kınay , Müjde Can İbanoğlu , Yaprak Ustun

https://doi.org/10.46969/EZH.1076419

Abstract

Gelişmiş Cerrahi Sonrası İyileşme (ERAS) programları, 2000’li yılların başından beri birçok cerrahi uzmanlık dalında operasyon sonuçlarını iyileştirmiştir. Bu multidisipliner standart bakım programı, cerrahi hastalarının preoperatif, intraoperatif, postoperatif bakımını optimize etmeyi amaçlamıştır. Yeni yayınlar ERAS protokollerinin sezaryen doğumlarda başarıyla uygulandığını göstermiştir. Sezaryen doğumda ERAS programının temel öğeleri; antenatal eğitim/danışmanlık, cerrahi öncesi tıbbi optimizasyon, anestezi öncesi medikasyon, sınırlı açlık süresi, karbonhidrat suplementasyonu, intraoperatif anestezi yönetimi, cerrahi alan enfeksiyon profilaksisi, normotermi ve övoleminin sürdürülmesi, uygun cerrahi teknik, yenidoğan bakımı, postoperatif analjezi, bulantı ve kusmanın önlenmesi, erken beslenme, erken mobilizasyon, tromboembolizm profilaksisi, glukoz yönetimi, idrar yönetimi ve taburculuk danışmanlığıdır. Bu öğelerin uygulanması, maternal /neonatal sonuçların iyileşmesi ve hastanede kalış süresinin azalması ile sonuçlanmıştır. Bununla birlikte, bu konudaki mevcut literatür sezaryen doğum için standartlaştırılmış, küresel olarak uygulanan bir ERAS protokolü geliştirmek için yeterli değildir. Bakım programını ve önerileri geliştirmek için daha fazla çalışmaya ihtiyaç vardır.

Keywords

Sezaryen doğum gelişmiş cerrahi sonrası iyileşme intraoperative preoperatif postoperatif

References

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There are 113 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Review Article
Authors

Tuğba Kınay 0000-0001-5340-1025

Müjde Can İbanoğlu 0000-0002-8413-2064

Yaprak Ustun 0000-0002-1011-3848

Publication Date June 30, 2022
Acceptance Date March 9, 2022
Published in Issue Year 2022 Volume: 4 Issue: 2

Cite

APA Kınay, T., İbanoğlu, M. C., & Ustun, Y. (2022). Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 4(2), 87-96. https://doi.org/10.46969/EZH.1076419
AMA Kınay T, İbanoğlu MC, Ustun Y. Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature. Türk Kadın Sağlığı ve Neonatoloji Dergisi. June 2022;4(2):87-96. doi:10.46969/EZH.1076419
Chicago Kınay, Tuğba, Müjde Can İbanoğlu, and Yaprak Ustun. “Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 4, no. 2 (June 2022): 87-96. https://doi.org/10.46969/EZH.1076419.
EndNote Kınay T, İbanoğlu MC, Ustun Y (June 1, 2022) Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4 2 87–96.
IEEE T. Kınay, M. C. İbanoğlu, and Y. Ustun, “Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 4, no. 2, pp. 87–96, 2022, doi: 10.46969/EZH.1076419.
ISNAD Kınay, Tuğba et al. “Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4/2 (June 2022), 87-96. https://doi.org/10.46969/EZH.1076419.
JAMA Kınay T, İbanoğlu MC, Ustun Y. Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4:87–96.
MLA Kınay, Tuğba et al. “Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 4, no. 2, 2022, pp. 87-96, doi:10.46969/EZH.1076419.
Vancouver Kınay T, İbanoğlu MC, Ustun Y. Enhanced Recovery After Surgery Programs in Cesarean Delivery: Review of the Literature. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4(2):87-96.
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