Next Article in Journal
Socio-Economic Disparities in Prenatal Prognosis and Intervention Accessibility
Previous Article in Journal
Survival Prognostic Factors and Molecular Aspects in Extremity Soft Tissue Sarcoma
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JMMS
Volume 11
Issue 2
10.22543/2392-7674.1551
jmms-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Postoperative Pain Management in the Enhanced Recovery After Surgery (ERAS) for Emergency Laparoscopic Cholecystectomy

by
Antonio Mihai Istrate
1,2,†,
Dragos Serban
1,2,*,
Dan Dumitrescu
1,2,*,
Corneliu Tudor
1,2,†,
Laurentiu Simion
1,3,
Vlad Denis Constantin
1,4,
Ciprian Tanasescu
5,
Dan Giorgian Bratu
5,
Bogdan Mihai Cristea
1,
Catalin Cicerone Grigorescu
6,† and
Ana Maria Dascalu
1
1
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
2
Fourth Department of General Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania
3
Department of Oncological Surgery, Prof. Dr. Al. Trestioreanu Oncological Institute, Bucharest, Romania
4
Department of General Surgery, St. Pantelimon Emergency Clinical Hospital, Bucharest, Romania
5
Faculty of Medicine, Lucian Blaga University of Sibiu, Sibiu, Romania
6
Faculty of Medicine, Titu Maiorescu University, Bucharest, Romania
*
Authors to whom correspondence should be addressed.
†
All authors contributed equally to this work and thus share first authorship.
J. Mind Med. Sci. 2024, 11(2), 396-401; https://doi.org/10.22543/2392-7674.1551
Submission received: 11 March 2024 / Revised: 11 April 2024 / Accepted: 15 May 2024 / Published: 31 October 2024

Abstract

Introduction. Enhanced recovery after surgery (ERAS) is a new patient-centered concept that aims to deliver high-quality perioperative care to surgical patients. This study was performed to compare the effectiveness of the pain management measures in an ERAS-protocol versus the traditional approach of postoperative pain. Materials and Methods. A comparative prospective study was performed on 50 patients admitted in the Fourth General Surgery of University Emergency Hospital of Bucharest between 2022 and 2024, with the diagnosis of acute cholecystitis, undergoing emergency laparoscopic cholecystectomy. The patients were randomly assigned into two study groups, an ERAS-group and a Traditional group, according to the type of perioperative care applied. The evaluated outcomes were length-of-stay; preoperative anxiety level, leukocyte count at admission and 24 hours postoperatively, postoperative pain levels quantified using Visual Analog Scale 24 hours after surgery and postoperative nausea and vomiting events. Results. The two study subgroups were comparable in terms of demographic and clinical preoperative characteristics. Statistical analysis showed significant lower values of preoperative anxiety level in ERAS group (p < 0.001), lower levels of postoperative pain (VAS 2.96 ± 0.75 vs. 4.65 ± 1.69, p < 0.001) and earlier resumption of the intestinal transit. However, there were no differences in the total hospital stay between the traditional and ERAS groups. Conclusions. Implementing ERAS protocol for emergency laparoscopic cholecystectomy improve postoperative functional outcome and the patients’ quality of care.
Keywords: laparoscopic cholecystectomy; emergency; enhanced recovery after surgery (ERAS); pain management laparoscopic cholecystectomy; emergency; enhanced recovery after surgery (ERAS); pain management

Share and Cite

MDPI and ACS Style

Istrate, A.M.; Serban, D.; Dumitrescu, D.; Tudor, C.; Simion, L.; Constantin, V.D.; Tanasescu, C.; Bratu, D.G.; Cristea, B.M.; Grigorescu, C.C.; et al. Postoperative Pain Management in the Enhanced Recovery After Surgery (ERAS) for Emergency Laparoscopic Cholecystectomy. J. Mind Med. Sci. 2024, 11, 396-401. https://doi.org/10.22543/2392-7674.1551

AMA Style

Istrate AM, Serban D, Dumitrescu D, Tudor C, Simion L, Constantin VD, Tanasescu C, Bratu DG, Cristea BM, Grigorescu CC, et al. Postoperative Pain Management in the Enhanced Recovery After Surgery (ERAS) for Emergency Laparoscopic Cholecystectomy. Journal of Mind and Medical Sciences. 2024; 11(2):396-401. https://doi.org/10.22543/2392-7674.1551

Chicago/Turabian Style

Istrate, Antonio Mihai, Dragos Serban, Dan Dumitrescu, Corneliu Tudor, Laurentiu Simion, Vlad Denis Constantin, Ciprian Tanasescu, Dan Giorgian Bratu, Bogdan Mihai Cristea, Catalin Cicerone Grigorescu, and et al. 2024. "Postoperative Pain Management in the Enhanced Recovery After Surgery (ERAS) for Emergency Laparoscopic Cholecystectomy" Journal of Mind and Medical Sciences 11, no. 2: 396-401. https://doi.org/10.22543/2392-7674.1551

APA Style

Istrate, A. M., Serban, D., Dumitrescu, D., Tudor, C., Simion, L., Constantin, V. D., Tanasescu, C., Bratu, D. G., Cristea, B. M., Grigorescu, C. C., & Dascalu, A. M. (2024). Postoperative Pain Management in the Enhanced Recovery After Surgery (ERAS) for Emergency Laparoscopic Cholecystectomy. Journal of Mind and Medical Sciences, 11(2), 396-401. https://doi.org/10.22543/2392-7674.1551

Article Metrics

Back to TopTop