Journal of clinical anesthesia
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Observational Study
Enhanced recovery after surgery in colorectal surgery: Impact of protocol adherence on patient outcomes.
There is growing evidence internationally to support Enhanced Recovery After Surgery (ERAS) pathways. The impact of pathway compliance and the relative importance of individual components, however, remains less clear. Our institution implemented a multimodal ERAS protocol for elective colorectal surgery in November 2013. The objectives of this study were to investigate the impact of the introduction of the pathway, the relationship between pathway adherence and patient outcomes, and the relative importance of individual components. ⋯ Higher adherence to the standardized ERAS protocol was associated with improved patient outcomes, including reduced pulmonary complications. The cause-effect relationship is complex and likely influenced by confounding factors. Our data provides feedback to aid ongoing innovation of our pathway locally and adds to the growing body of evidence supporting the value of ERAS in general.
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Evaluate feasibility of 1-day OR management course for anesthesiology residents and determine if course content increases trust in OR management science. ⋯ The 1-day course increases resident trust in OR course management content. Participants with less pre-course confidence in statistical application and decision making had greater increases in trust.
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Letter Case Reports
Modified use of Fogarty catheter for unanticipated difficult airway in children.