腭裂手术后增强恢复:方案的发展和实施在外展设置。

IF 1.1 4区 医学 Q2 Dentistry
Roland K Assaf, Robert Younan, Mario Haddad, Wassim Najjar, Antonio Melhem, Elsa Chahine, Dana Andari, Rami S Kantar, Raj Vyas, Usama S Hamdan
{"title":"腭裂手术后增强恢复:方案的发展和实施在外展设置。","authors":"Roland K Assaf, Robert Younan, Mario Haddad, Wassim Najjar, Antonio Melhem, Elsa Chahine, Dana Andari, Rami S Kantar, Raj Vyas, Usama S Hamdan","doi":"10.1177/10556656251357374","DOIUrl":null,"url":null,"abstract":"<p><p>ObjectiveTo describe and demonstrate the effectiveness and reproducibility of a modified enhanced recovery after surgery (ERAS) protocol for patients with cleft palate (CP).DesignProspective cohort study.SettingOutreach Medical Programs, resource-limited settings.PatientsPediatric patients with CP who underwent CP repair<i>.</i>InterventionsModified ERAS protocol.Main Outcome Measure(s)Complication rate, post-operative pain management, time to discharge<i>.</i>Results52 CP repairs done during three outreach medical programs were included in the study. 22 (42.3%) procedures were performed in GYE SEP 2022, 6 (11.5%) procedures in SAL JAN 2023, and 24 (46.2%) in GYE MAR 2023. The mean age was 4.9 years across all programs. 22 (42.4%) patients were between 1 and 3 years of age, 26 (50%) were between 3 and 12 years of age, and 4 (7.6%) were older than 12 years of age. Patients were equally distributed among gender with 26 (50%) being males and 26 (50%) females. A total complication rate of 5.8% was reported. 51 patients were discharged on post-op day one and only one patient was kept for an additional day for monitoring. Four patients required Fentanyl in PACU for post-operative pain, ketamine was used in 1 patient, 7 patients received Dexmedetomidine (Precedex), and ketorolac was used in 16 patientsConclusionsA modified ERAS protocol for CP surgery has been developed and implemented for outreach settings. This approach showed decreased post-operative complications, decreased length of hospital stay, and decreased opioid use while maintaining adequate pain control, establishing early enteral feeding and thus enhancing patient recovery.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251357374"},"PeriodicalIF":1.1000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhanced Recovery After Cleft Palate Surgery: Protocol Development and Implementation in Outreach Settings.\",\"authors\":\"Roland K Assaf, Robert Younan, Mario Haddad, Wassim Najjar, Antonio Melhem, Elsa Chahine, Dana Andari, Rami S Kantar, Raj Vyas, Usama S Hamdan\",\"doi\":\"10.1177/10556656251357374\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>ObjectiveTo describe and demonstrate the effectiveness and reproducibility of a modified enhanced recovery after surgery (ERAS) protocol for patients with cleft palate (CP).DesignProspective cohort study.SettingOutreach Medical Programs, resource-limited settings.PatientsPediatric patients with CP who underwent CP repair<i>.</i>InterventionsModified ERAS protocol.Main Outcome Measure(s)Complication rate, post-operative pain management, time to discharge<i>.</i>Results52 CP repairs done during three outreach medical programs were included in the study. 22 (42.3%) procedures were performed in GYE SEP 2022, 6 (11.5%) procedures in SAL JAN 2023, and 24 (46.2%) in GYE MAR 2023. The mean age was 4.9 years across all programs. 22 (42.4%) patients were between 1 and 3 years of age, 26 (50%) were between 3 and 12 years of age, and 4 (7.6%) were older than 12 years of age. Patients were equally distributed among gender with 26 (50%) being males and 26 (50%) females. A total complication rate of 5.8% was reported. 51 patients were discharged on post-op day one and only one patient was kept for an additional day for monitoring. Four patients required Fentanyl in PACU for post-operative pain, ketamine was used in 1 patient, 7 patients received Dexmedetomidine (Precedex), and ketorolac was used in 16 patientsConclusionsA modified ERAS protocol for CP surgery has been developed and implemented for outreach settings. This approach showed decreased post-operative complications, decreased length of hospital stay, and decreased opioid use while maintaining adequate pain control, establishing early enteral feeding and thus enhancing patient recovery.</p>\",\"PeriodicalId\":49220,\"journal\":{\"name\":\"Cleft Palate-Craniofacial Journal\",\"volume\":\" \",\"pages\":\"10556656251357374\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-07-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cleft Palate-Craniofacial Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10556656251357374\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656251357374","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0

摘要

目的描述和证明改良的腭裂术后增强恢复(ERAS)方案的有效性和可重复性。前瞻性队列研究。外展医疗项目,资源有限的环境。患者接受CP修复的儿科CP患者。干预改进的ERAS方案。主要观察指标:并发症发生率、术后疼痛处理、出院时间。结果本研究共纳入了52例在三个外展医疗项目中完成的CP修复。GYE在2022年9月进行了22例(42.3%)手术,在2023年1月进行了6例(11.5%)手术,在2023年3月进行了24例(46.2%)手术。所有项目的平均年龄为4.9岁。1 ~ 3岁22例(42.4%),3 ~ 12岁26例(50%),12岁以上4例(7.6%)。患者性别分布均匀,男性26例(50%),女性26例(50%)。总并发症发生率为5.8%。51例患者术后第一天出院,仅有1例患者多留一天监测。4例患者在PACU中需要芬太尼治疗术后疼痛,1例患者使用氯胺酮,7例患者使用右美托咪定(precdex), 16例患者使用酮洛拉克。结论改进的ERAS方案已经制定并实施用于CP手术。该方法减少了术后并发症,缩短了住院时间,减少了阿片类药物的使用,同时保持了适当的疼痛控制,建立了早期肠内喂养,从而增强了患者的康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhanced Recovery After Cleft Palate Surgery: Protocol Development and Implementation in Outreach Settings.

ObjectiveTo describe and demonstrate the effectiveness and reproducibility of a modified enhanced recovery after surgery (ERAS) protocol for patients with cleft palate (CP).DesignProspective cohort study.SettingOutreach Medical Programs, resource-limited settings.PatientsPediatric patients with CP who underwent CP repair.InterventionsModified ERAS protocol.Main Outcome Measure(s)Complication rate, post-operative pain management, time to discharge.Results52 CP repairs done during three outreach medical programs were included in the study. 22 (42.3%) procedures were performed in GYE SEP 2022, 6 (11.5%) procedures in SAL JAN 2023, and 24 (46.2%) in GYE MAR 2023. The mean age was 4.9 years across all programs. 22 (42.4%) patients were between 1 and 3 years of age, 26 (50%) were between 3 and 12 years of age, and 4 (7.6%) were older than 12 years of age. Patients were equally distributed among gender with 26 (50%) being males and 26 (50%) females. A total complication rate of 5.8% was reported. 51 patients were discharged on post-op day one and only one patient was kept for an additional day for monitoring. Four patients required Fentanyl in PACU for post-operative pain, ketamine was used in 1 patient, 7 patients received Dexmedetomidine (Precedex), and ketorolac was used in 16 patientsConclusionsA modified ERAS protocol for CP surgery has been developed and implemented for outreach settings. This approach showed decreased post-operative complications, decreased length of hospital stay, and decreased opioid use while maintaining adequate pain control, establishing early enteral feeding and thus enhancing patient recovery.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Cleft Palate-Craniofacial Journal
Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY
CiteScore
2.20
自引率
36.40%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信