BC Enhanced Recovery featured in ‘Canadian Healthcare Technology’

Enhanced Recovery After Surgery spreads through Canada

By Dianne Daniel

Canadians recovering from surgery are leaving hospitals sooner with improved outcomes thanks to a growing push to implement Enhanced Recovery After Surgery (ERAS) – evidence-based protocols that require compliance by both clinicians and patients.

Provincial results are so encouraging, proponents are now pushing for a national network so that tools and best practices for implementing ERAS can be more widely disseminated.

“We have to change the culture,” says Dr. Claude Laflamme, Medical Director of Quality and Patient Safety in the Department of Anesthesia at Toronto’s Sunnybrook Health Sciences Centre. “People think if I have an operation tomorrow I cannot eat or drink after midnight because that’s what we’ve been saying for years. But the guidelines have changed,” he says.

Read more…

ASER/EBPOM: Annual Congress Abstract Submission Deadline Approaching!

1234

Abstract Submission Portal Now Open!

Deadline Sunday, March 5th at 11:59pm CST

Click here to submit your abstract

  • Abstracts may not have been published previously.
  • Abstracts should be brief, typically less than 600 words.
  • Submit a Microsoft Word Document.
  • Limited to one page with imbedded graphics.
  • Submitted via the internet using the online submission form.
  • Abstracts are peer-reviewed according to the following criteria: Originality, Importance, Methods, Analysis, Results, Conclusions, General interest and Writing quality.
  • Authors will be notified of review decision via email. Abstracts will be presented during designated poster sessions.
  • Presenting authors are required to pay conference registration and expenses.
  • Poster boards are 8′ wide and 4′ tall; push pins are provided.

CLICK HERE to view a sample PDF of acceptable abstract formatting.

Article: Goal-directed fluid therapy and opioid-sparing technique: Clinical guidance amid doubt and confusion

Kelly Mayson, MD, FRCPC, Ron Collins, MD, FRCPC, Mark F. Masterson, MD, MSc, FRCPC, Jill Osborn, PhD, MD, FRCPC

Optimal management of perioperative fluid therapy remains a highly debated topic. The purpose of optimal fluid management is to maintain or restore effective circulating blood volume during the perioperative period with the goal of maintaining effective blood volume and blood pressure to ensure adequate organ perfusion, while avoiding the risk of either organ hypo- or hyperperfusion … Read more

The full clinical guidance note on opioid-sparing technique is available online (http://enhancedrecoverybc.ca/guidance-notes).

 

Tools: Low Dose Ketamine Infusion Resources from Interior Health

Thank you to Interior Health for sharing their low dose ketamine infusion self-learning tool and orders.

You can download the resources below or check out other staff resources here.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions.

e.g. “Adapted from [“title of document”] by [name of site/author] (year).”

Download (IH_Low-Dose-Ketamine-Infusion-Self-Learning-Plan-_March_22_2016.doc, DOC, 999KB)

Download (IH-Ketamine_low-dose_infusion-orders-2016.pdf, PDF, 19KB)

Tools: VGH Patient Pamphlet on Opioid Tapering

Thank you to Vancouver General Hospital for sharing their patient education pamphlet on opioid tapering. The pamphlet covers opioid medication, weaning, storage, and disposal.

You can download the pamphlet below or check out more patient education materials here.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions.

e.g. “Adapted from [“title of document”] by [name of site/author] (year).”

Download (VGH-pt-pamplet_opioid-weaning-EA.835.O86-2016.pdf, PDF, 93KB)

Tools: UHNBC shares their Enhanced Recovery resources

Thank you to the University Hospital of Northern BC for sharing a huge collection of Enhanced Recovery resources. Please click on the following links to take a look.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions.

e.g. “Adapted from [“title of document”] by [name of site/author] (year).”

Patient Education Booklet and Patient Poster

Pre-op, post-op, and day-of-surgery order sets, including an innovative order set with references mapped on (see below)

Staff resources, including the pathway, nutritional screening tool, and patient checklist

Download (UHNBC-2016-Order-Set-References-Large-Format.pdf, PDF, 434KB)

Tools: Updated Enhanced Recovery Dataset, data collection form, run chart tool

The Enhanced Recovery core process and outcomes measures for elective colorectal surgery were updated and released in September 2016. Please note the following:

  1. Data entry for goal-directed fluid therapy and zero-balance fluid therapy has been clarified in the data set dated October 17, 2016.
  2. The excel data entry form has been updated to reflect the updated measures.
  3. The run chart tool has been updated to reflect the updated measures.

The 2014-15 versions of the above documents will remain available for those sites within to continue using the those tools.

All data collection tools can be found here.

Please contact us if you have any questions.

Tools: Updated colon resection order sets, pathway form, and patient booklet from VGH

Thank you to Vancouver General Hospital for sharing their updated Enhanced Recovery order sets, pathway, and patient booklet for colorectal surgery. Download the documents from here or go to the Tools tab, where you’ll find even more resources.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions. e.g. “Adapted from [“title of document”] by [name of site/author] (year).”

If you have resources to share, please send them to us!

Download (VGH-ERAS-colon-pathway-April-2016.pdf, PDF, 419KB)

Download (VGH-ERAS-Colon-booklet-July-2016.pdf, PDF, 611KB)

Download (VGH-Colon-Resection-Pre-Op-Enhanced-Recovery-Orders-884_2016.pdf, PDF, 57KB)

Download (VGH-Colon-Resection-Post-Op-Enhanced-Recovery-Orders-883-2016.pdf, PDF, 67KB)

New Enhanced Recovery Listserve – sign up!

Do you want to connect with Enhanced Recovery Teams across BC?
Wish you could ask a burning question to others implementing Enhanced Recovery?
Got something you want to share with other Enhanced Recovery teams? A resource? A success? A lesson learned? A new opportunity?

The Enhanced Recovery BC listserve is a group email list that enables members and others to ask questions, share experiences, and keep up to date on new developments. If you would like to subscribe to the listserve, you can sign up now! You will be added automatically and can unsubscribe at any time.

Advantages of the listserve:

  • easy way to ask for, or provide, help to other Enhanced Recovery sites in BC
  • only one email address to manage rather than an ever-changing contact list
  • people can subscribe and unsubscribe directly from our website http://enhancedrecoverybc.ca/contact/
  • archive available to easily find old threads
  • everyone on the list can benefit from the questions, answers, and announcements
  • moderated in order to control volume of communication (approved by project manager prior to group distribution)
  • digest mode available