scholarly journals P72 Knowledge and application of the guidelines on intravenous fluid therapy in adult post op surgical patients amongst junior doctors in maidstone and tunrnbridge wells (mth) nhs trust

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Ekowo Onyekachi ◽  
Mark Cynk ◽  
Onyekachi Ekowo
Keyword(s):  
Hospital Stay ◽  
Retrospective Analysis ◽  
Fluid Therapy ◽  
Length Of Hospital Stay ◽  
Intravenous Fluid ◽  
Surgical Patients ◽  
Junior Doctors ◽  
Intravenous Fluid Therapy ◽  
Prolonged Length ◽  
Poor Outcome

Abstract Introduction Foundation Year doctors and Senior House officers are commonly made responsible for fluid prescriptions. Errors could lead to significant poor outcome for the patient. Methodology A total of 36 FY1s and SHOs were asked 8 questions to check their knowledge of the guideline for intravenous fluid therapy in adult surgical patients (GIFTASUP). Following this, a retrospective analysis of fluid prescriptions received by 37 patients who had elective colorectal surgeries was analysed over a 3-month period to see if the fluids received met the GIFTASUP guideline and see how this affected the outcome of the patients. Results 33(92%) of doctors studied are not aware of any guidelines for fluid prescription post operatively. 38(22%) of prescriptions made exceeded 2500mls in 24 hours. Ileus was significant amongst those patients who received fluid volumes more than 2500 mls in 24 hours (p = 0.045). Also, all 4 patients who had pneumonia received fluid volumes exceeding 2500mls in the days preceding the pneumonia. In addition, the length of hospital stay was 15 days and 9 days in those with fluids volumes greater than 2500mls and less than 2500mls in 24 hours, respectively. Conclusion Majority of the Foundation year doctors in MTH are not aware of post-operative fluid guidelines which resulted in errors in the prescriptions made. This is associated with pneumonia, ileus and prolonged length of hospital stay.

scholarly journals A simple and effective strategy for improving junior doctors' knowledge of intravenous fluid therapy

2014 ◽  
pp. 1 ◽  
Author(s):  
Anand Prakash Swayamprakasam ◽  
Pooja Bijor Bijoor ◽  
Usman Khalid ◽  
Muhammad Rana ◽  
Richard Boulton ◽  
...  
Keyword(s):  
Fluid Therapy ◽  
Intravenous Fluid ◽  
Junior Doctors ◽  
Effective Strategy ◽  
Intravenous Fluid Therapy

scholarly journals Summary of the British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients (GIFTASUP) – For Comment

2009 ◽  
Vol 10 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Jeremy Powell-Tuck ◽  
Simon P Allison ◽  
Peter Gosling ◽  
Dileep N Lobo ◽  
Gordon L Carlson ◽  
...  
Keyword(s):  
Fluid Therapy ◽  
Intravenous Fluid ◽  
Surgical Patients ◽  
Consensus Guidelines ◽  
Intravenous Fluid Therapy

scholarly journals Fluid therapy in pyloric stenosis – assessment of the implementation of hospital guidelines

2021 ◽  
Author(s):  
Magdalena Lewandowska ◽  
Paweł Polityło ◽  
Przemysław Przewratil
Keyword(s):  
Pyloric Stenosis ◽  
Fluid Therapy ◽  
Hypertrophic Pyloric Stenosis ◽  
Length Of Hospital Stay ◽  
Intravenous Fluid ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Transfusion Rate ◽  
Intravenous Fluid Therapy ◽  
Saline Bolus ◽  
New Guidelines

Introduction: The preoperative correction of the hypochloremic, hypokalemic metabolic alcalosis in children with infantile hypertrophic pyloric stenosis (IHPS) is essential to optimal outcome. Aim: The main aim of the study was the assessment of the implementation of hospital guidelines for intravenous fluid therapy in children with IHPS. Material and methods: In our Department, at the beginning of 2018 hospital guidelines for intravenous fluid therapy in children were implemented. Two internal audits were performed and surgeons’ compliance with the current recommendations was evaluated. We assessed: the type of fluid transfused, a rate of transfusion and whether saline bolus was given. The study group consisted of 50 patients. Results and discussion: After new guidelines were implemented, appropriate iv fluid was given to 68.7% of children compared to 5.1% before implementation (P = 0.0001). Proper transfusion rate was used in 44.1% of patients before introduction of new guidelines and in 81.2% after that (P = 0.01). Second audit showed that all children had received the recommended iv fluid (P = 0.007) at a good transfusion rate (P = 0.02). In patients who had received the recommended iv fluid, the length of hospital stay after surgery (P = 0.023) and the total length of stay (P = 0.018) were shorter. Conclusions: The new guidelines have raised the level of the whole care for children with pyloric stenosis. The internal audits played an important role in their implementation.

scholarly journals Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-10
Author(s):  
Gladys Amponsah ◽  
Alice Charwudzi
Keyword(s):  
Hospital Stay ◽  
Central Region ◽  
Length Of Hospital Stay ◽  
Study Data ◽  
Postoperative Outcomes ◽  
Allogeneic Blood ◽  
Surgical Patients ◽  
Prolonged Length ◽  
Prolonged Hospital ◽  
Preoperative Anaemia

Introduction. Several studies suggest that preoperative anaemia (PA) is associated with adverse postoperative outcomes, but little is known about these outcomes in the Central Region of Ghana. This study aims to determine the prevalence of PA among noncardiac surgical patients and its implications for their postoperative outcomes.Methods. This study was designed as an observational study; data including demographics and clinical and laboratory results were collected from the patients’ records and through interviews.Results. A total of 893 inpatient surgical cases undergoing elective and emergency operations, aged 15 years and above with mean age of 44.2 ± 17.0 yrs, were enrolled. The prevalence of PA was 54.3%, mostly microcytic with or without hypochromia (57.2%). The prevalence was higher in females than males (p≤0.001). Preoperative anaemia was significantly associated with prolonged length of hospital stay (OR: 2.12 (95% CI: 1.49–3.10)). Allogeneic blood transfusion significantly prolonged the length of hospital stay (OR 4.48 (95% CI: 2.67–7.51)). 15.5% of the anaemic patients received oral iron supplements compared to 2.2% of nonanaemic patients (p≤0.001).Conclusion. Preoperative anaemia is common among noncardiac surgical patients. It is independently and significantly associated with prolonged hospital stay leading to the use of increased healthcare resources. It is also the main predictor for perioperative allogeneic blood transfusions and the use of haematinics.

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