Is postop nausea and vomiting hereditary?
Researchers from Penn State College of Medicine have singled out a genetic variation in patients who have postoperative nausea and vomiting (PONV). In the study, the researchers pooled DNA samples from...
View ArticleHelping to avoid postdischarge nausea and vomiting
Nausea or vomiting after surgery can cause more distress than the pain, and even with modern anesthetics, it is not as rare as once thought. If the procedure is outpatient, symptoms may arise after the...
View ArticleOpioid-free general anesthesia reduces postop nausea
Editor’s Note Eliminating opioids from general anesthesia is safe and effective and significantly decreases postoperative nausea, finds this study presented October 23 at the Anesthesiology 2017 annual...
View ArticleInnovative use for drug reduces postop nausea and vomiting
Editor’s Note An innovative use for a known drug, amisulpride, is showing promise as an effective treatment for preventing postoperative nausea and vomiting (PONV), finds this study. Amisulpride works...
View ArticleOR leaders see benefits of briefer NPO period
Though long fasting before a surgical procedure is tied to increased patient risks, the outdated guideline of NPO after midnight continues to be practiced by many healthcare organizations. In 1999, the...
View ArticleEnhanced Recovery After Surgery: The new standard for perioperative care
Enhanced Recovery After Surgery (ERAS®) is a comprehensive, multifaceted, and multidisciplinary approach to the care of the surgical patient. ERAS bundles evidence-based elements to facilitate a faster...
View ArticleIdentifying postop complications using EHR data and machine learning
Editor’s Note Using machine learning on electronic health record (EHR) postoperative data linked to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) outcomes...
View ArticleEditorial
ERAS, known to speed recovery and increase patient satisfaction, has been adopted for many types of procedures. Yet Henrik Kehlet, MD, PhD, who came up with the concept of “fast-track surgery” from...
View ArticleMayo Clinic Care Network reduces hospital stays with ERPs
Editor’s Note An Enhanced Recovery Pathway (ERP) created by the Mayo Clinic’s colorectal surgery service a decade ago has now been adopted by other surgical services in seven medical centers that are...
View ArticleDevelop standard work for successful ERAS implementation
At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that...
View ArticleOvercoming common obstacles to implementing a perioperative surgical home
Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach...
View ArticleHospital-wide ERAS adoption hinges on leadership support
Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find...
View ArticleCulture, communication, and clinical skills essential for ERAS success
Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery...
View ArticleWhat does it take to become an ERAS hospital?
Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem...
View ArticleJoint Commission approves four new EPs for office-based surgery
Editor’s Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for...
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