Comparative Study of Fast-Track vs Traditional Peri-Operative Care Protocols in Gastrointestinal Surgeries

This article compares fast-track and traditional peri-operative care protocols in gastrointestinal surgeries. It also discusses post-operative mortality, missed care, nurse staffing, and pragmatic trials in peri-operative medicine. The article also covers critical care in Africa, careful patient observation, antiseptic technique, wound infection prevention, and enhanced recovery after surgery. Additionally, it discusses preoperative fasting, bowel cleansing, and reintroduction of oral nutrition, as well as wound care, infection prevention, patient monitoring, and anaesthetic regime. The article also covers patient education, WHO guidelines for post-operative care, and handover between anaesthetists and post-anaesthetic care unit nursing staff.

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Traditional practices
Trad Prolonged preoperative fasting
(nil by mouth), bowel cleansing,
and reintroduction of oral
nutrition
Multimodal care/Current
practices
Trad Enhanced recovery after surgery
Trad Anaesthetic regime
Trad Preoperative counselling
Trad Optimisation of nutrition
Trad Standardised analgesics
Trad Early mobilisation
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American society of Anaesthiologist- PACU
 Provision of oxygen.
 Measurement and recording of vital signs by the nurse
 A report by the anaesthesiologist to
the PACU nurse (Brief medical history,
preanesthetic assessment including allergies,
anticipated need for pain medications, Pre-
transfer laboratory data)
 Postanesthetic orders (e.g.
oxygen administration, fluid
administration, antiemetic and
analgesic treatment).
Trad WHO guidelines post
operative care
Patient education
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Florence
Nightingale
John snow
Careful patient selection, pain
prevention by inhalation, careful
observation, maintenance of respiration
Careful patient observation, antiseptic
technique, wound infection prevention
Dandy and Firor
Three bed neurosurgical unit
Leave patients comfortably after anaesthesia, use pillows
for head and shoulder. Leave patient without movement
for recovery
NICE guidelines
Trad Wound care, infection prevention,
patient monitoring
National Safety and Quality
Health Service Standards
Kitney, P., Tam, R., Bennett, P., Buttigieg, D., Bramley, D., & Wang, W.
(2016). Handover between anaesthetists and post-anaesthetic care unit nursing
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