NCT03189550

Enhanced Recovery After Surgery in Colorectal Surgery: A Large-Scale Quality Improvement Project

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 664 (actual)
• Sponsor: Vanderbilt University Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.

Detailed description

Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This large quality improvement project will compare outcomes after standard perioperative practice with those after the implementation of a multi-modal evidence based care pathway, including standardized preoperative preparation, perioperative goal-directed fluid therapy (GFDT), multi-modal perioperative pain management, post operative nausea and vomiting prevention, surgical care and bowel isolation, and surgical site infection prevention. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.

Conditions

• Colorectal Surgery
• Quality Improvement
• Perioperative Care
• ERAS

Interventions

Type	Name	Description
PROCEDURE	ERAS perioperative care	Standard of care implementation of multi-modal evidence-based care pathway, including standardized preoperative preparation (medical and diet), perioperative goal-directed fluid therapy, multi-modal perioperative pain management, postoperative nausea and vomiting prevention, surgical care and bowel isolation, and surgical site infection prevention
PROCEDURE	Standard perioperative care	Standard perioperative care prior to implementation of ERAS care pathway
PROCEDURE	Noninvasive hemodynamic monitoring	Standard of care perioperative noninvasive hemodynamic monitoring with the ClearSight System (Edwards LifeSciences)

Timeline

• Start date: 2014-07-01
• Primary completion: 2017-02-15
• Completion: 2017-02-17
• First posted: 2017-06-16
• Last updated: 2019-02-21

Locations

1 site across 1 country: United States