Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey

Abstract Background Early postoperative resumption of oral intake is supposed to be safe and beneficial to patients recovery. However, practitioners still have great confusion and disagreement about postoperative resumption of oral intake. This is a nationwide survey to investigate the current statu...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Huizhen Huang, Yuelun Zhang, Le Shen, Yuguang Huang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Postoperative Oral intake Enhanced recovery after surgery Survey Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/e3b4fc1ee95041c994fe1ec83c3cacfb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e3b4fc1ee95041c994fe1ec83c3cacfb
record_format	dspace
spelling	oai:doaj.org-article:e3b4fc1ee95041c994fe1ec83c3cacfb2021-11-14T12:11:41ZLevel of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey10.1186/s12871-021-01500-91471-2253https://doaj.org/article/e3b4fc1ee95041c994fe1ec83c3cacfb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01500-9https://doaj.org/toc/1471-2253Abstract Background Early postoperative resumption of oral intake is supposed to be safe and beneficial to patients recovery. However, practitioners still have great confusion and disagreement about postoperative resumption of oral intake. This is a nationwide survey to investigate the current status of clinical practice and practitioners’ attitude toward postoperative resumption of oral intake along with their level of understanding of the ERAS guidelines. Methods An anonymous web-based survey questionnaire via mobile social platform was carried out in mainland China from December 11–20, 2020. The Wilcoxon signed rank test or chi-square test was used to compare the propensity of the resumption of oral intake. Results Totally 5370 responses were received, and 89% of them were from anesthesiology departments. The nature of the responses from clinical practitioners was highly diverse, but each of the three surgery types showed unique patterns of ERAS implementation. The respondents were more conservative regarding the commencement of both fluid and solid diets after gastrointestinal (GI) and hepato-pancreato-biliary (HPB) surgery than after non-abdominal (NA) surgery. Most respondents agreed that early oral intake is beneficial to reduce postoperative complications improve bowel recovery and overall outcome. 55% respondents considered themselves to have a better understanding of ERAS and tended to initiate oral intake early for all three surgery types (P < 0.001). Conclusions The postoperative resumption of oral intake is highly variable among GI, HPB and NA surgeries. A better understanding of ERAS would encourage practitioners to commence oral intake resumption much earlier.Huizhen HuangYuelun ZhangLe ShenYuguang HuangBMCarticlePostoperativeOral intakeEnhanced recovery after surgerySurveyAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Postoperative Oral intake Enhanced recovery after surgery Survey Anesthesiology RD78.3-87.3
spellingShingle	Postoperative Oral intake Enhanced recovery after surgery Survey Anesthesiology RD78.3-87.3 Huizhen Huang Yuelun Zhang Le Shen Yuguang Huang Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
description	Abstract Background Early postoperative resumption of oral intake is supposed to be safe and beneficial to patients recovery. However, practitioners still have great confusion and disagreement about postoperative resumption of oral intake. This is a nationwide survey to investigate the current status of clinical practice and practitioners’ attitude toward postoperative resumption of oral intake along with their level of understanding of the ERAS guidelines. Methods An anonymous web-based survey questionnaire via mobile social platform was carried out in mainland China from December 11–20, 2020. The Wilcoxon signed rank test or chi-square test was used to compare the propensity of the resumption of oral intake. Results Totally 5370 responses were received, and 89% of them were from anesthesiology departments. The nature of the responses from clinical practitioners was highly diverse, but each of the three surgery types showed unique patterns of ERAS implementation. The respondents were more conservative regarding the commencement of both fluid and solid diets after gastrointestinal (GI) and hepato-pancreato-biliary (HPB) surgery than after non-abdominal (NA) surgery. Most respondents agreed that early oral intake is beneficial to reduce postoperative complications improve bowel recovery and overall outcome. 55% respondents considered themselves to have a better understanding of ERAS and tended to initiate oral intake early for all three surgery types (P < 0.001). Conclusions The postoperative resumption of oral intake is highly variable among GI, HPB and NA surgeries. A better understanding of ERAS would encourage practitioners to commence oral intake resumption much earlier.
format	article
author	Huizhen Huang Yuelun Zhang Le Shen Yuguang Huang
author_facet	Huizhen Huang Yuelun Zhang Le Shen Yuguang Huang
author_sort	Huizhen Huang
title	Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
title_short	Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
title_full	Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
title_fullStr	Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
title_full_unstemmed	Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
title_sort	level of eras understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e3b4fc1ee95041c994fe1ec83c3cacfb
work_keys_str_mv	AT huizhenhuang leveloferasunderstandingaffectspractitionerspracticeandperceptionofearlypostoperativeresumptionoforalintakeanationwidesurvey AT yuelunzhang leveloferasunderstandingaffectspractitionerspracticeandperceptionofearlypostoperativeresumptionoforalintakeanationwidesurvey AT leshen leveloferasunderstandingaffectspractitionerspracticeandperceptionofearlypostoperativeresumptionoforalintakeanationwidesurvey AT yuguanghuang leveloferasunderstandingaffectspractitionerspracticeandperceptionofearlypostoperativeresumptionoforalintakeanationwidesurvey
_version_	1718429438636457984

Level of ERAS understanding affects practitioners’ practice and perception of early postoperative resumption of oral intake: a nationwide survey

Ejemplares similares