Preoperative Education in Cholecystectomy in the Context of a Multimodal Protocol of Perioperative Care: A Randomized, Controlled Trial

Background Preoperative education is a key point in multimodal protocols of perioperative care. We investigated whether preoperative education for patients undergoing open cholecystectomy would reduce the incidence of perioperative symptoms. Methods This was a randomized, single-blinded, clinical tr...

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Bibliographic Details
Published in:	World journal of surgery Vol. 38; no. 2; pp. 357 - 362
Main Authors:	de Aguilar-Nascimento, José E., Leal, Fernando S., Dantas, Daniela C. S., Anabuki, Nadia T., de Souza, Amanda M. C., Silva e Lima, Verônica P., Tanajura, Guilherme H., Canevari, Mariana
Format:	Journal Article
Language:	English
Published:	Boston Springer US 01-02-2014 Springer Nature B.V
Subjects:	Abdominal Surgery Adolescent Adult Aged Cardiac Surgery Cholecystectomy - adverse effects Cholecystectomy - education Clinical Protocols Dipyrone Enhance Recovery After Surgery Female General Surgery Humans Male Medicine Medicine & Public Health Middle Aged Ondansetron Open Cholecystectomy Perioperative Care - standards Postoperative Complications - prevention & control Postoperative Nausea and Vomiting - epidemiology Surgery Thoracic Surgery Vascular Surgery Visual Analogue Scale Score Young Adult Dipyrone Visual Analogue Scale Score Open Cholecystectomy Enhance Recovery After Surgery Ondansetron
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Summary:	Background Preoperative education is a key point in multimodal protocols of perioperative care. We investigated whether preoperative education for patients undergoing open cholecystectomy would reduce the incidence of perioperative symptoms. Methods This was a randomized, single-blinded, clinical trial that included adult (18–65 years old) candidates for elective open cholecystectomy. All patients took part in the ERAS/ACERTO protocol of perioperative care except that only the intervention group received preoperative education. The main endpoints of the study were the presence and intensity of postoperative symptoms (e.g., nausea, vomiting, pain) measured by a visual analogue scale, 24 h after the operation. Results A total of 74 patients (34 in the intervention group, 40 in the control group) completed the study. The intervention group had significantly lower median (interquartile range) scores for nausea [0 (4) vs. 2.5 (5.8), p = 0.04] and pain [0.2 (2.3) vs. 3.1 (3.45), p < 0.01] than the controls. High well-being (score ≥6) was reported by 79.4 % (27 patients) of the intervention group in contrast to 57.5 % (23 patients) of the controls ( p = 0.04). Conclusions Preoperative education is highly effective in the context of a multimodal protocol for enhancing the recovery of patients submitted to open cholecystectomy.
Bibliography:	This study was presented at the 1st ERAS Congress, Cannes, 2012. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0364-2313 1432-2323
DOI:	10.1007/s00268-013-2255-7