Expert Perspectives on Postoperative Ileus

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Presentation transcript:

Expert Perspectives on Postoperative Ileus

Case Presentation

Traditional Etiology of POI

Historical Definition of Ileus

Contemporary Definitions of POI

Definitions and Incidence of POI NSQIP

ASER-POQI Consensus on POGD The I-FEED Scoring System

Enhanced Recovery A New Care Paradigm

Perioperative Stress

Enhanced Recovery Limits Perioperative Stress

Traditional vs Enhanced Recovery in CRS

Consensus Statements Concerning Prevention and Treatment of POGD

Duke Enhanced Recovery Key Elements

Differentiating Compliance vs Outcome

DREaMS

ASER-POQI Assessment of DREAMS Outcomes

Alvimopan for Prevention of POGD

Alvimopan Mechanism of Action

Opioid Avoidance for Prevention of POGD

POQI Treatment Algorithm for Achieving Optimal Analgesia After CSR

Review of Case

Optimizing Fluid Administration for Prevention of POGD

DOS Fluid Volumes and Outcomes

The MGH Perspective on Intraoperative Fluid Management and Postoperative Outcomes

The Impact of Liberal vs Restrictive Fluids on 1-Year Survival and Disability

PONV Prevention and Early Postoperative Feeding for Prevention of POGD

Enhanced Recovery Elements for Prevention of POGD

Assessment of Postoperative GI Function

Management of Postoperative GI Function

Duke Enhanced Recovery Key Elements Used in This Patient

Summary

Abbreviations

Abbreviations (cont)