TY - JOUR
T1 - Implementing our microsurgical breast reconstruction enhanced recovery after surgery pathway
T2 - Consensus obstacles and recommendations
AU - Stone, Jill P.
AU - Siotos, Charalampos
AU - Sarmiento, Samuel
AU - Temple-Oberle, Claire
AU - Aliu, Oluseyi
AU - Cooney, Damon S.
AU - Broderick, Kristen P.
AU - Sacks, Justin M.
AU - Manahan, Michele A.
AU - Rosson, Gedge D.
N1 - Publisher Copyright:
© 2019 Lippincott Williams and Wilkins. All Rights Reserved.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Enhanced recovery after surgery pathways are well established in other surgical specialties but are relatively new in plastic surgery. These guidelines focus on improving patient care by incorporating evidence-based recommendations. Length of stay is shorter, and overall hospital costs are lower without compromising patient satisfaction. When care is standardized, ambiguity is removed and physician acceptance is improved. Yet, implementation can be challenging on an institutional level. The Johns Hopkins microsurgical breast reconstruction team identified areas of dogmatic dissonance during 3 focus groups to formalize an enhanced recovery pathway for microsurgical breast reconstruction. Six microsurgeons used nominal group technique to reach consensus. Four discussion points were identified: multidisciplinary buy-in, venous thromboembolism (VTE) chemophylaxis, early feeding, and dietary restrictions. Evidence-based recommendations and our enhanced recovery after surgery protocol are provided.
AB - Enhanced recovery after surgery pathways are well established in other surgical specialties but are relatively new in plastic surgery. These guidelines focus on improving patient care by incorporating evidence-based recommendations. Length of stay is shorter, and overall hospital costs are lower without compromising patient satisfaction. When care is standardized, ambiguity is removed and physician acceptance is improved. Yet, implementation can be challenging on an institutional level. The Johns Hopkins microsurgical breast reconstruction team identified areas of dogmatic dissonance during 3 focus groups to formalize an enhanced recovery pathway for microsurgical breast reconstruction. Six microsurgeons used nominal group technique to reach consensus. Four discussion points were identified: multidisciplinary buy-in, venous thromboembolism (VTE) chemophylaxis, early feeding, and dietary restrictions. Evidence-based recommendations and our enhanced recovery after surgery protocol are provided.
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U2 - 10.1097/GOX.0000000000001855
DO - 10.1097/GOX.0000000000001855
M3 - Article
C2 - 30859019
AN - SCOPUS:85064870223
SN - 2169-7574
VL - 7
JO - Plastic and Reconstructive Surgery - Global Open
JF - Plastic and Reconstructive Surgery - Global Open
IS - 1
M1 - e1855
ER -