Standardized perioperative management in acute abdominal surgery: Swedish SMASH controlled study.

ABSTRACT:

Background

Acute high-risk abdominal surgery is common, as are the attendant risks of organ failure, need for intensive care, mortality, or long hospital stay. This study assessed the implementation of standardized management.

Methods

A prospective study of all adults undergoing emergency laparotomy over an interval of 42 months (2018-2021) was undertaken; outcomes were compared with those of a retrospective control group. A new standardized clinical protocol was activated for all patients including: prompt bedside physical assessment by the surgeon and anaesthetist, interprofessional communication regarding location of resuscitation, elimination of unnecessary factors that might delay surgery, improved operating theatre competence, regular epidural, enhanced recovery care,

SUBMITTER: Timan TJ 

PROVIDER: S-EPMC10364510 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature