14 statements
· 1 topic
· summaries given as host listed separately
Featured statements
▶Ep 6 · 4:05
We've instituted a protocol across all surgical patients, which is discharged when physiologically ready as opposed to waiting for some, uh, for the surgeon to come by and say, yes, you're ready to go home.
The pain team tried epidurals for about a year but found that patients were slowed down with their discharge, so they changed to QL blocks, rectus sheath blocks, or TAP blocks.
clinicalThe patient was given protein shakes preoperatively for nutritional optimization.↗
▶Ep 6 · 2:15
clinicalOn the day of operation, the patient came to the hospital drinking high carbohydrate clear liquids, which were stopped one hour before the operation.↗
▶Ep 6 · 2:15
clinicalTotal IV fluids for the case was less than 4 ccs per kilo per hour.↗
▶Ep 6 · 2:15
clinicalPostoperatively, the patient was put on multimodal analgesia with Tylenol, Toradol, and Neurontin.↗
▶Ep 6 · 2:15
clinicalThe patient was allowed to drink immediately after surgery and started to snack that night.↗
▶Ep 6 · 2:15
clinicalThe patient went home the evening after a partial colectomy.↗
▶Ep 6 · 2:15
clinicalThe institution has a protocol to discharge patients when physiologically ready as opposed to waiting for the surgeon to approve discharge.↗
▶Ep 6 · 3:00
quoteBecause ERAS was written on the board next to her name, the day surgery nurses gave her clear liquids during the afternoon.↗
▶Ep 6 · 4:05
quoteWe've instituted a protocol across all surgical patients, which is discharged when physiologically ready as opposed to waiting for some, uh, for the surgeon to come by and say, yes, you're ready to go home.↗
▶Ep 6 · 4:53
clinicalPre-op optimization period and heavy counseling with families about discharge goals is important for setting expectations.↗
▶Ep 6 · 5:25
quoteHaving this pre-op optimization period and heavy counseling is really important.↗
▶Ep 6 · 6:31
clinicalThe pain team tried epidurals for about a year but found that patients were slowed down with their discharge, so they changed to QL blocks, rectus sheath blocks, or TAP blocks.↗
▶Ep 6 · 6:45
quoteI mean, as surgeons, is there anything we love more than blaming anesthesia?↗
▶Ep 6 · 7:40
clinicalDr. Heise gave grand rounds to the anesthesia department twice with the chair present to secure buy-in for ERAS protocols.↗
Summaries Kurt gave as host
· 4 summaries
Recaps of other experts' statements, not Kurt's own clinical position.
Summaries Kurt gave as host · Crohn's Disease4 summaries
host summaryKurt Heise summarizing a resource: In the adult population, literature supports that mobilization and early PO intake are the most important drivers to early discharge.↗
▶Ep 6 · 5:10
host summaryKurt Heise summarizing a resource: In the adult population, there's literature to support that mobilization and early PO intake are the most important drivers to an early discharge.↗
▶Ep 6 · 6:31
host summaryKurt Heise summarizing a resource: With regional blocks and multimodal pain control, big surgeries including colectomies and craniofacial reconstructions can be done without the use of narcotics.↗
▶Ep 6 · 10:03
host summaryKurt Heise summarizing a resource: Dr. Heise's team at Emory found that ERAS implementation did not slow cases down, contrary to initial concerns.↗
