25 statements
· 1 topic
· summaries given as host listed separately
Featured statements
▶Ep 16 · 9:10
In conclusion, initiation of a targeted ERAS protocol for patients undergoing a robotic assisted sleeve gastrectomy led to a significant decrease in narcotic consumption and length of stay without any change in 30-day complication rates.
More impressively, all patients in the pre-ERAS group required narcotics, while only 76% utilized narcotics in the post-ERAS group during their hospital stay, and only 64% required opioids post-operatively.
BOB Ped Surg 2023 - Wendy Jo Svetanoff, IPEG - Presentation
▶Ep 16 · 0:30
epidemiologicalReports of ERAS protocols in pediatric metabolic and bariatric surgery are limited↗
▶Ep 16 · 0:50
clinicalIn 2018, the institution developed an ERAS protocol for adolescents undergoing robotically assisted vertical sleeve gastrectomy focusing on pain management, nausea control, and early oral intake and ambulation↗
▶Ep 16 · 0:50
quoteIn 2018, our institution developed an ERAS protocol for adolescence undergoing robotically assisted vertical sleeve gastrectomy, which focused on pain management, nausea control, and early oral intake and ambulation.↗
▶Ep 16 · 2:00
clinicalThe study was a single institution retrospective review with pre-post analysis of patients who underwent robotic sleeve gastrectomy from July 2015 to July 2021↗
▶Ep 16 · 2:30
clinicalThe ERAS algorithm was developed as part of a multi-specialty quality improvement project with four main areas of focus: post-operative pain, nausea, narcotic use, and oral fluid intake↗
▶Ep 16 · 3:00
clinicalPre-operative management included allowing a carbohydrate electrolyte drink on day of surgery, along with pre-operative pain and nausea medication↗
▶Ep 16 · 3:30
clinicalIntraoperatively, ketorolac and bilateral TAP blocks were given for pain control, while metoclopramide and dexamethasone were given for nausea management↗
▶Ep 16 · 4:00
clinicalPost-operatively, a multimodal non-narcotic pain regimen was scheduled, while narcotic pain medication was available on an as needed basis↗
▶Ep 16 · 4:30
clinicalPatients were discharged after demonstrating tolerance of a bariatric phase one diet without nausea or vomiting and had good pain control with oral medications only↗
▶Ep 16 · 5:00
epidemiological110 patients were included in the analysis, with 60 patients in the pre-ERAS group and 50 patients in the post-ERAS group↗
▶Ep 16 · 5:20
epidemiologicalThere was a significantly higher percentage of females in the pre-ERAS group, while all other demographic characteristics were similar between the two groups↗
▶Ep 16 · 5:40
epidemiologicalNo difference was noted in operating time or total OR time between groups↗
▶Ep 16 · 5:55
epidemiologicalSignificantly more patients in the post-ERAS group received intraoperative acetaminophen and ketorolac↗
▶Ep 16 · 6:15
epidemiologicalPatients in the post-ERAS group received significantly fewer opioid medications↗
▶Ep 16 · 6:30
epidemiologicalThe median time to first oral intake was 1.5 hours sooner in the post-ERAS group↗
▶Ep 16 · 6:50
epidemiologicalThe time to first ambulation was 1 hour sooner after initiation of ERAS↗
▶Ep 16 · 7:05
epidemiologicalPost-operative hospital stay was almost one day less in the post-ERAS group↗
▶Ep 16 · 7:20
epidemiologicalPost-ERAS patients received only a median of 7.5 morphine milliequivalents of opioids compared to the pre-ERAS group who received a median of 58.1 morphine milliequivalents↗
▶Ep 16 · 7:50
epidemiologicalAll patients in the pre-ERAS group required narcotics, while only 76% utilized narcotics in the post-ERAS group during their hospital stay↗
▶Ep 16 · 7:50
quoteMore impressively, all patients in the pre-ERAS group required narcotics, while only 76% utilized narcotics in the post-ERAS group during their hospital stay, and only 64% required opioids post-operatively.↗
▶Ep 16 · 8:10
epidemiologicalOnly 64% of post-ERAS patients required opioids post-operatively↗
▶Ep 16 · 8:25
epidemiologicalThere was no difference in post-operative complications between groups↗
▶Ep 16 · 8:40
clinicalBalancing measures looking specifically at nausea, vomiting, and dehydration requiring admission were either the same or lower in the post-ERAS group, indicating that protocol implementation did not elicit added harm to the patients↗
▶Ep 16 · 9:10
clinicalInitiation of a targeted ERAS protocol for patients undergoing robotic assisted sleeve gastrectomy led to a significant decrease in narcotic consumption and length of stay without any change in 30-day complication rates↗
▶Ep 16 · 9:10
quoteIn conclusion, initiation of a targeted ERAS protocol for patients undergoing a robotic assisted sleeve gastrectomy led to a significant decrease in narcotic consumption and length of stay without any change in 30-day complication rates.↗
Summaries Wendy gave as host
· 2 summaries
Recaps of other experts' statements, not Wendy's own clinical position.
BOB Ped Surg 2023 - Wendy Jo Svetanoff, IPEG - Presentation
▶Ep 16 · 0:00
host summaryWendy Jo Svetanoff summarizing a resource: Enhanced recovery after surgery, or ERAS protocols, have been shown to improve outcomes in many adult surgical specialties. However, reports in pediatric metabolic and bariatric surgery are limited.↗
▶Ep 16 · 0:00
host summaryWendy Jo Svetanoff summarizing a resource: Enhanced recovery after surgery (ERAS) protocols have been shown to improve outcomes in many adult surgical specialties↗