Enhanced recovery after surgery (ERAS)
Date: Wednesday 7 October 2020
Time: 5.30 pm AEST
5.00pm SA | 4.30pm QLD | 4.00pm NT | 2.30pm WA
Key factors that keep patients in a hospital after surgery include the need for parenteral analgesia; the need for intravenous fluids secondary to gut dysfunction; the need for bed rest; and other factors such as hypotension; unstable blood glucose levels; lack of fitness, and life style factors such as smoking, drinking and obesity.
ERAS uses pathways of care that address key factors that keep patients in hospitals after surgery. These pathways provide guidance to all involved in perioperative care, helping them to work as a well-coordinated team to provide the best of care. Key measurable effects are reduced care time and a reduction in complications.
Much of the focus is on teamwork - nurses, anaesthetists, surgeons and other experts involved in the perioperative process, introducing highly specific changes to current routines to conform to best practice.
ERAS promotes intraoperative haemodynamic optimisation using fluid boluses to optimise preload first and measures fluid responsiveness using SVV to this effect. If further treatment is needed, CI and SVRI measurements help determine if inotropes or vasoconstrictors are the next line of management. Once the macro-circulation is optimised the next focus is on the micro-circulation.
In my presentation I endeavour to make this dry, brainy, conceptual, academic evidence-based practice not only accessible but practical in the world of perianaesthesic nursing.
To register please click here
Perioperative Nurses Week (PNW) is ACORN’s week to celebrate our profession, our people and the essential role we play in the health care equation. We’re excited, and we hope you are too! ...