Evidence-based clinical practice manual: Postoperative complications management
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.
References
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15. Ministerio de salud y Protección Social. Colombia. Resolución 5521 de 2013. Actualización Plan Obligatorio de Salud (POS) [Internet]. Available from: http://www.minsalud.gov.co/salud/POS/Actualizacin%20POS%202014/ANEXO%2001.pdf. Accessed: September 1, 2014.
16. Membership of the working party: Griffiths R, Beech F, Brown A, Dhesi J, Foo I, Goodall J, et al. Peri-operative care of the elderly 2014. Anaesthesia. 2014;69: 81-98.
17. Moon HY, Baek CW, Choi GJ, Shin HY, Kang H, Jung YH, et al. Palonosetron and aprepitant for the prevention of postoperative nausea and vomiting in patients indicated for laparoscopic gynaecologic surgery: a double-blind randomised trial. BMC Anesthesiol. 2014;14: 68.
18. Diemunsch P, Gan TJ, Philip BK, Girao MJ, Eberhart L, Irwin MG, et al. Single-dose aprepitant vs ondansetron for the prevention of postoperative nausea and vomiting: a randomized, double-blind phase III trial in patients undergoing open abdominal surgery. Br J Anaesth. 2007;99:202-11.
19. Rapoport BL, Jordan K, Boice JA, Taylor A, Brown C, Hardwick JS, et al. Aprepitant for the preventio of chemotherapy-induced nausea and vomiting associated with a broad range of moderately emetogenic chemotherapies and tumor types: a randomized, double-blind study. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2010;18:423-31.
20. Spanjersberg WR, Reurings J, Keus F, van Laarhoven CJ. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011:CD350076.
21. Hoffmann H, Kettelhack C. Fast-track surgery - conditions and challenges in postsurgical treatment: a review of elements of translational research in enhanced recovery after surgery. Eur Surg Res Eur Chir Forsch Rech Chir Eur. 2012;49:24-34.
22. Procedure specific postoperative pain management, PROSPECT [Internet]. Available from: http://www.postoppain.org/frameset.htm. Accessed: September 1, 2014.
23. Guidelines for transport of critically ill patients. Australasian College for Emergency Medicine (ACEM) Australian and New Zealand College of Anaesthetists (ANZCA) College of Intensive Care Medicine of Australia and New Zealand (CICM) [Internet]. 2013 [cited 2014 Sep 22]. Available from: http://www.anzca.edu.au/resources/professional-documents/pdfs/ps52-2013-guidelines-for-transport-of-critically-ill-patients.
24. Robaina FJ. ¿Por qué las Unidades del Dolor deben ser multidisciplinarias? Rev Soc Esp Dolor. 2005;12:137-40.
2. Weissman C, Klein N. The importance of differentiating between elective and emergency postoperative critical care patients. J Crit Care. 2008;23:308-16.
3. WHO surgical safety checklist implementation; 2009 [Internet]. Available from: http://www.who.int/patientsafety/safesurgery/checklist_implementation/en/ Accessed: September 1, 2014.
4. Eichenberger A-S, Haller G, Cheseaux N, Lechappe V, Garnerin P, Walder B. A clinical pathway in a post-anaesthesia care unit to reduce length of stay, mortality and unplanned intensive care unit admission. Eur J Anaesthesiol. 2011;28: 859-66.
5. Dolor posoperatorio en España. Primer documento de consenso. AEC, GEDOS, SEDAR y SED 2005 [Internet]. 2005 [cited 2014 September 9]. Available from: http://www.aecimjanos.es/libreria_virtual/Documento_consenso_dolor_postoperatorio.pdf.
6. Cadavid A, Mendoza J, Gómez N, Berrío M. Prevalencia de dolor agudo posoperatorio y calidad de la recuperación en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2007. IATREA Rev Méd Univ Antioquia. 2009;22:11-5.
7. Muinoz I, Romero N, Calvache J. Incidencia de dolor severo post-operatorio en el Hospital Universitario San José de Popayán. Informe preliminar. En paginación; 2014. Accessed: Septembe 1, 2014.
8. Machado J, Machado M, Calderón V, Gonzalez A, Escobar F, García R, et al. ¿Estamos controlando el dolor posquirúrgico? Rev Colomb Anestesiol. 2013;41:2132-8 [Internet]. Available from: http://www.revcolanest.com.co/es/estamos-controlando-el-dolor-posquirurgico/articulo/90199320/.
9. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology. 2012;116: 248-73.
10. Gan TJ, Diemunsch P, Habib AS, Kovac A, Kranke P, Meyer TA, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2014;118:85-113.
11. Villegas F, García J, Aguayo J. Manejo de lasnáuseas y vómitos postoperatorios. Cir Esp. 2010;886:369-73 [Internet, cited 2014 September 8]. Available from: http://www.aecirujanos.es/revisiones_cirugia/2010/Diciembre2_pdf.
12. Sánchez R, Jaramillo L. Metodología de calificación y resumen de las opiniones dentro de consensos formales. Rev Colomb Psiquiatr. 2009;38:777-85.
13. De Oliveira GS, Castro-Alves LJ, Chang R, Yaghmour E, McCarthy RJ. Systemic metoclopramide to prevent postoperative nausea and vomiting: a meta-analysis without Fujii's studies. Br J Anaesth. 2012;109:688-97.
14. Instituto Nacional de Vigilancia de Medicamentos y Alimentos, Invima [Internet]. Available from: http://web.sivicos.gov.co:8080/consultas/consultas/consreg_encabcum.jsp Accessed: September 1, 2014.
15. Ministerio de salud y Protección Social. Colombia. Resolución 5521 de 2013. Actualización Plan Obligatorio de Salud (POS) [Internet]. Available from: http://www.minsalud.gov.co/salud/POS/Actualizacin%20POS%202014/ANEXO%2001.pdf. Accessed: September 1, 2014.
16. Membership of the working party: Griffiths R, Beech F, Brown A, Dhesi J, Foo I, Goodall J, et al. Peri-operative care of the elderly 2014. Anaesthesia. 2014;69: 81-98.
17. Moon HY, Baek CW, Choi GJ, Shin HY, Kang H, Jung YH, et al. Palonosetron and aprepitant for the prevention of postoperative nausea and vomiting in patients indicated for laparoscopic gynaecologic surgery: a double-blind randomised trial. BMC Anesthesiol. 2014;14: 68.
18. Diemunsch P, Gan TJ, Philip BK, Girao MJ, Eberhart L, Irwin MG, et al. Single-dose aprepitant vs ondansetron for the prevention of postoperative nausea and vomiting: a randomized, double-blind phase III trial in patients undergoing open abdominal surgery. Br J Anaesth. 2007;99:202-11.
19. Rapoport BL, Jordan K, Boice JA, Taylor A, Brown C, Hardwick JS, et al. Aprepitant for the preventio of chemotherapy-induced nausea and vomiting associated with a broad range of moderately emetogenic chemotherapies and tumor types: a randomized, double-blind study. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2010;18:423-31.
20. Spanjersberg WR, Reurings J, Keus F, van Laarhoven CJ. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011:CD350076.
21. Hoffmann H, Kettelhack C. Fast-track surgery - conditions and challenges in postsurgical treatment: a review of elements of translational research in enhanced recovery after surgery. Eur Surg Res Eur Chir Forsch Rech Chir Eur. 2012;49:24-34.
22. Procedure specific postoperative pain management, PROSPECT [Internet]. Available from: http://www.postoppain.org/frameset.htm. Accessed: September 1, 2014.
23. Guidelines for transport of critically ill patients. Australasian College for Emergency Medicine (ACEM) Australian and New Zealand College of Anaesthetists (ANZCA) College of Intensive Care Medicine of Australia and New Zealand (CICM) [Internet]. 2013 [cited 2014 Sep 22]. Available from: http://www.anzca.edu.au/resources/professional-documents/pdfs/ps52-2013-guidelines-for-transport-of-critically-ill-patients.
24. Robaina FJ. ¿Por qué las Unidades del Dolor deben ser multidisciplinarias? Rev Soc Esp Dolor. 2005;12:137-40.
How to Cite
1.
Calvache JA, Guzmán Érika L, Gómez Buitrago LM, García Torres C, Torres M, Buitrago G, et al. Evidence-based clinical practice manual: Postoperative complications management. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 18];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, et al. Evidence-based clinical practice manual: Postoperative complications management. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 18];43(1):51-60. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/483
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Section
Clinical Practice Guides
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