Pilot study of a novel, surgically-administered quadratus lumborum block
Shreya J Shetty, MD, Tiffany Weidner, MD, Hangge Patrick, MD, Tonia Young-Fadok, MD. Mayo Clinic, Scottsdale, AZIntroduction: Quadratus lumborum (QL) blocks are effective for pain control after abdominal surgery, modifying somatic and visceral pain. Published descriptions are for anesthesiologist administration pre- or post-operatively. We present a pilot series of patients undergoing a novel intraoperative ultrasound-guided… Continue Reading
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Post-operative analgesia in colorectal surgery
Federico Sertic, MD, Ashwin Gojanur, Dr, Ahmed Hammad, MD. Guy's and St Thomas' HospitalIntroduction: The aim of this project is to assess the quality of post-operative pain relief in colorectal surgery and identify patients in whom pain management has not been effective, in order to improve the quality of post-operative care. Effective management of post-operative… Continue Reading
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PATIENT SPECIFIC FACTORS OF STERILE INFLAMMATION MARKERS OF CONVALESCENCE FOLLOWING LAPAROSCOPIC SURGERY-RESULTS OF A TRIPLE BLIND RANDOMIZED CONTROL STUDY
Nayan Agarwal, Juhil D Nanavati, DNB, Neeraj Dhamija, DNB, Brij B Agarwal, MS, Satish Saluja, MD. Sir Ganga Ram Hospital & GRIPMER, IndiaINTRODUCTION: Enhanced recovery after surgery (ERAS) in post-operative convalescence (POC) following minimally invasive surgery (MIS) is determined by sterile inflammation which is mediated by an interplay between pro/anti-inflammatory and immunosuppressive cytokine cascades (PAIKn).… Continue Reading
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Laparoscopic Heller Myotomy and Dor Fundoplication: A Same Day Surgery with a Trained Team and an Enhanced Recovery Protocol
Chandni Kaushik, MS1, Madison Milhoan, MS1, Anshu Khanna, MPH1, Munish Chawla, MD2, Charles C Miller, PhD1, Farzaneh Banki, MD3. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2Memorial Hermann Southeast Esophageal Disease Center, 3McGovern Medical School at the University of Texas Health Science Center at Houston ( UT Health).… Continue Reading
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SURGEON-ADMINISTERED TAP BLOCKS WITHIN A NARCOTIC SPARING PAIN MANAGEMENT PATHWAY IN PATIENTS UNDERGOING ABDOMINAL SURGERY IN A RURAL HOSPITAL
Larry M Deppe, MD, FACS1, Christopher A Kasal, MD, FACS1, David R Farley, MD, FACS2. 1Mayo Clinic Health System, 2Mayo Clinic RochesterIntroduction: Data suggests value in using TAP (transversus abdominis plane) neural blockade in abdominal surgical procedures. We deploy TAP blockade using liposomal bupivacaine via ultrasound (US) as part of a narcotic sparing pain management… Continue Reading
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EARLY POSTOPERATIVE DIET AFTER BARIATRIC SURGERY: IMPACT ON LENGTH OF STAY AND 30-DAY READMISSION
Lisa A Bevilacqua1, Nabeel R Obeid, MD2, Konstantinos Spaniolas, MD1, Andrew T Bates, MD1, Salvatore Docimo Jr., MD1, Donna M Zimmermann, BS1, Aurora D Pryor, MD, FACS1. 1Stony Brook University School of Medicine, 2University of MichiganIntroduction: Pathways for enhanced recovery after surgery (ERAS) have been shown to improve length of stay and postoperative complication rates… Continue Reading
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FEASIBILITY OF ENHANCED RECOVERY PROGRAM IN EMERGENCY MINIMAL ACCESS SURGERY
PremKumar Anandan, MS, FACS. Bangalore Medical College And Research InstituteIntroduction: Minimal access surgery is an imperative element of Enhanced recovery program and has significantly improved the outcomes. Enhanced recovery program (ERP) synonym “fast track” surgery “was first conceived by Dr Henrich Kelhet. Largely described for colorectal surgery and reported to be feasible and useful for… Continue Reading
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EFFECT OF ENHANCED RECOVERY AFTER SURGERY PATHWAYS INCLUDING TRANSVERSUS ABDOMINUS PLANE BLOCK ON HOSPITAL LENGTH OF STAY AND NARCOTIC USE IN PATIENTS UNDERGOING COMPLEX VENTRAL HERNIA REPAIRS
Courtney E Collins, MD, Michael Jaronczyk, MD, Vladimir P Daoud, MD, Ibrahim Daoud. St Francis Hospital; Hartford CTObjectives: Enhanced Recovery After Surgery (ERAS) pathways have been shown to expedite discharges and lower the rate of non-surgical complications in certain surgical populations. We implemented an ERAS pathway including a transversus abdominus plane (TAP) block for patients… Continue Reading
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Novel Approach to a Quick and Effective Trans-peritoneal Transversus Abdominis Plane Block (TP-TAP Block) Confirmed with Ultrasound
Sepehr Lalezari, MD, Hien T Nguyen, Gina L Adrales, Jean-Pierre Ouanes, MD, Michael A Schweitzer. Johns HopkinsINTRODUCTION: Enhanced recovery pathways are an area of increasing interest for minimally invasive surgeons. The transversus abdominis plane (TAP) block has been adopted by many as a way to improve post-operative pain control. We present our modified version of… Continue Reading