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Related Concept Videos

Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

22
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Aug 19, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

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Enhanced recovery after surgery.

Henrik Kehlet1

  • 1Section of Surgical Pathophysiology, Copenhagen University Hospital - Rigshospitalet, Denmark.

Danish Medical Journal
|December 2, 2022
PubMed
Summary

Enhanced recovery after surgery programs significantly reduce hospital stays and complications. Future efforts focus on personalized care, post-discharge recovery, and bridging the gap between evidence and practice.

Area of Science:

  • Perioperative Medicine
  • Surgical Outcomes Research
  • Evidence-Based Practice

Background:

  • Enhanced Recovery After Surgery (ERAS) programs were conceptualized to minimize unnecessary hospitalization.
  • ERAS is integrated into multimodal perioperative care, demonstrating significant benefits in reducing hospital stay duration and complication rates globally.
  • Despite widespread adoption, challenges remain in optimizing patient outcomes and care delivery.

Purpose of the Study:

  • To review the evolution and documented benefits of Enhanced Recovery After Surgery (ERAS) programs.
  • To identify key challenges and future directions for improving ERAS protocols and implementation.
  • To highlight the need for patient- and procedure-specific modifications and enhanced research strategies.

Main Methods:

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  • Conceptual development based on questioning the necessity of patient hospitalization.
  • Integration into multimodal perioperative care programs.
  • Documentation of benefits regarding hospitalisation duration and complication risks.

Main Results:

  • ERAS programs have achieved worldwide success in improving surgical recovery.
  • Significant reductions in hospitalisation needs and complication risks have been documented.
  • The approach is evolving within comprehensive perioperative care frameworks.

Conclusions:

  • Future advancements in ERAS require tailoring interventions to individual patient and procedural factors.
  • Improving post-discharge recovery and closing the evidence-practice gap are critical.
  • Enhanced research design strategies are necessary to address remaining challenges in ERAS implementation and optimization.