PERİOPERATİF BAKIMDA GÜNCEL YAKLAŞIMLAR

Öz

Son 10 yılda yapılan önemli çalışmaların sonuçlarına göre, preoperatif barsak hazırlığı, nazogastrik tüp kullanımı ve kademeli diyet gibi birçok geleneksel cerrahi bakım yaklaşımlarının gereksiz yere uygulandığı, hatta zararlı bile olduğu kanıtlanmıştır. Bu makalede cerrahide perioperatif bakımda belirlenen güncel yaklaşımlardan bazıları tartışılacaktır.

Anahtar Kelimeler

• Perioperatif hemşirelik, cerrahi prosedürler

Kaynakça

1. Aksoy G, Yazıcı Sayın Y. Günübirlik Cerrahide Hastanın
2. Hemşirelik Yüksek Okulu Dergisi 2004; 8(2):39-46.
3. Andersen HK, Lewis SJ, Thomas S. Early Enteral Nutrition within 24 h Of Colorectal Surgery Versus Later Commencement of Feding Forpostoperative Complications. The Cochrane Library 2011, Issue 2, Assessed as up-to-date: 9 JAN 2011, Published Online:
4. 1002/14651858.CD004080.pub2
5. Brady MC, Kinn S, Ness V, O’Rourke K, Randhawa N, Stuart P. Preoperative Fasting for Preventing Perioperative Complications in Children. The Cochrane Library 2010, Issue 5, Published Online: 12 MAY 2010, Assessed as up-to-date: 3 AUG 2009, doi: 10.1002/14651858.CD005285.pub2
6. Brady MC, Kinn S, Stuart P, Ness V. Preoperative Fasting
7. Complications. The Cochrane Library 2010, Issue 5, Published Online: 12 MAY 2010, Assessed as up-to- date:
8. 1002/14651858.CD004423

9. Demirağ SA. Kronik Hastalıklar ve Yaşam Kalitesi, Sağlıklı Yaşam Tarzı Dergisi 2009; 1:58 -65.
10. Dolgun E, Taşdemir N, Ter N, Yavuz M. Cerrahi Hastalarının Ameliyat Öncesi Aç Kalma Sürelerinin İncelenmesi. Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi 2011: 25 (1): 11 – 15.
11. Gilmartin J, Wright K. Daysurgery: Patients’ Felt Abandoned During The Preoperative Wait. Journal of Clinical Nursing 2008; 17: 2418–2425. Hardman
12. Perioperative Care is Lost in Translation. British Journal of Surgery 2008; 95: 807–8.
13. Jiang K,Cheng L, Wang JJ, Li JS, Nie J. Fast Track Clinical Path Way Implications in Esophago Gastrectomy. World Journal of Gastroenterology 2009; 15(4): 496-501.
14. Kehlet H, Buchler MW, Beart RW, Billingham RP, Williamson R. Care After Colonic Operation – is It Evidence-Based? Results from A Multinational Survey in Europe and the United States. Journal of the American College of Surgeons2006; 202(1): 45– 54.
15. Kehlet H, Wilmore DW. Surgical Care – How can New Evidence Be Applied to Clinical Practice? Colorectal Disease 2010; 12(1):2–4.
16. Kehlet H, Wilmore DW. Evidence-Based Surgical Care and The Evolution of Fast-Track Surgery. Annals of Surgery.Aug 2008; 248(2): 189-98.
17. Lowe GD, Chamberlain BM, Philpot EJ, Willshire RJ. Oesophageal Doppler Monitor (ODM) guided individualised goal directed fluid management (IGDFM) in surgery- a technical review. Deltex Medical Technical Review 2009; 4:1-12.
18. Nelson R, Edwards S, Tse B. Prophylactic Nasogatric Decompression After Abdominal Surgery (Review). Cochrane Database System Review 2007; 18(3): CD004929.
19. Osland EJ and Memon MA. Early Postoperative Feeding in Resectional Gastro Intestinal Surgical Cancer Patients World. Journal of Gastrointestinal Oncology 2010; 2(4): 187-191.
20. Öncel TU. Pulsoksimetre. Türk Yoğun Bakım Dergisi 2006; 4(2): 96-106.
21. Özdemir F, Eti Z, Dinçer P, Göğüş FY, Bekiroğlu N. Majör ve Minör Cerrahi Geçiren Hastalarda Preoperatif Oral Karbonhidrat Yüklemesinin Stres Cevaba Etkisi. Turkiye Klinikleri J MedSci 2011; 31(6): 1392-1400.
22. Peter S, Gill F. Development of a Clinical Practice Guideline for Testing Nasogastric Tube Placement. Journal for Specialists in Pediatric Nursing 2009; 14(1): 3-11.
23. Saqr L, Chambers WA. Preventing Excessive Preoperative Fasting: National Guideline or Local Protocol? Anaesthesia 2006; 61(1):1–3.
24. Sinha S, Srinivas G, Montgomery J, DeFriend D. Outcome of Day-case in Guinal Hernia in Elderly Patients: How Safe is It? Hernia 2007; 11(3): 253- 256.
25. Soreide E, Holst-Larsen H, Veel T, SteenPA. The Effects of Chewing Gum on Gastric Content Prior to Induction of General Anesthesia. Anesthesia & Analgesia 1995; 80(5): 985-989.
26. Walker KJ, Smith AF. Premedication for Anxiety in Adult Day Surgery. The Cochrane Library Published Online: 7 OCT 2009, Assessed as up-to-date: 31 DEC 2008, DOI: 10.1002/14651858.CD002192.pub2