Evidence-based clinical practice manual: Postoperative complications management

  • José Andrés Calvache Universidad del Cauca, Cauca-Colombia. Erasmus University Medical Centre Rotterdam, The Netherlands
  • Érika León Guzmán Universidad Nacional de Colombia, Bogot´á, Colombia
  • Luz María Gómez Buitrago Technology Development Centre, Colombian Society of Anaesthesiology and Resuscitation (S.C.A.R.E.), Colombia
  • Cecilia García Torres Universidad de Caldas, Caldas Colombia. Head of Specialized Advice Department, Colombian Society of Anaesthesiology and Resuscitation (S.C.A.R.E.), Colombia
  • Marcela Torres Technology Development Centre, Colombian Society of Anaesthesiology and Resuscitation (S.C.A.R.E.); Cochrane Sexually Transmitted Infections Group, Universidad Nacional de Colombia, Colombia
  • Giancarlo Buitrago Universidad Nacional de Colombia, Bogotá, Colombia
  • Hernando Gaitán Duarte Universidad Nacional de Colombia, Bogotá, Colombia
Keywords: Postoperative complications, Postoperative nausea and vomiting, Transportation of patients, Patient safety, Postoperative pain

Abstract

Introduction: Despite advances in perioperative management, acute pain and postoperative nausea and vomitingcontinue to be significant complications worldwide. The frequency and the implications of these complications for the process of recovery impact clinical findings, patient quality of care, and hospital costs.

Materials and methods: A search and systematic review of the literature after 2011 was conducted. Three international guidelines were selected and they were paired-rated for quality using the AGREE II tool. Management recommendations, adjusted to the Colombian setting, were adopted on the basis of expert consensus, using the Delphi methodology.

Results: Recommendations were generated for adult patients based on the international pain management guidelines for acute pain, postoperative nausea and vomiting, and transfer of critically ill patients. Some of the recommendations are of general nature while others are specific forparticular situations. They were all adapted to the Colombian context, bearing in mind the use of drugs which have not received approval from the healthcare authorities or which are not included in the Mandatory Healthcare Plan.

Conclusions: Updating and standardizing clinical management recommendations based on the literature on international guidelines is a useful process, provided it is adapted to the national context. This process and its outcome may be useful for healthcare providers and has a positive effect on patient safety, practitioner performance and efficient use of resources.

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How to Cite
1.
Calvache JA, Guzmán Érika L, Gómez Buitrago LM, García Torres C, Torres M, Buitrago G, Gaitán Duarte H. Evidence-based clinical practice manual: Postoperative complications management. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2022Jul.6];43(1):51 -60. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/483

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Published
2015-01-01
How to Cite
1.
Calvache JA, Guzmán Érika L, Gómez Buitrago LM, García Torres C, Torres M, Buitrago G, Gaitán Duarte H. Evidence-based clinical practice manual: Postoperative complications management. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2022Jul.6];43(1):51 -60. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/483
Section
Clinical Practice Guides

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