ERAC at #OAA23ASM, expertly managed by #OBAnes @LimGrapes from @OBAnesUPMC
@LimGrapes lays out the objectives of her talk and highlights the model for improvement applicable to #AnyAnes. Great quote! #OBAnes #OAA23ASM
What is ERAC? Well, let’s start at the very beginning (seems like a good place to start): enhanced recovery is about quicker recovery and improving outcomes. Most of all it is an APPROACH! #OBAnes #OAA23ASM
Is enhanced recovery for cesarean different? It is still an approach, with similar ERAS components #OBAnes #OAA23ASM
However, there are some modifications to the ERAS components. It’s all in the name. #OBAnes #OAA23ASM
Prenatal: limit NPO, Education/ engagement, discharge planning. Intraoperative:preventing hypotension, golden hour, medication optimization. Postpartum: early oral/ mobilization, support breastfeeding, treat anemia. #OBAnes #OAA23ASM
Discharge may not be parturient but passenger related. ERAC improves postoperative LoS, patient satisfaction, breastfeeding rates (maybe a few others). Emphasis placed on 4 interventions, QI initiative implementations successfully met. #OBAnes #OAA23ASM
Pain and opioid outcomes good (filled scripts is tricky - that may happen without the opioids being taken?) Similarly nutrition and ambulation. #OBAnes #OAA23ASM
Research opportunities for ERAC. How to get clinician “buy in”? Many ERAS protocols have not yet been implemented for cesarean delivery. #OBAnes #OAA23ASM
Negative outcomes: best process/ approach? LoS requires further work as not independently related to perioperative #OBAnes or surgery factors. What are CORE outcomes for ERAC? #OAA23ASM
ERAC editorial in @IARS_Journals encourages further studies to identify interventions to improve outcomes, discern best treatment strategies based on real world data, specific populations while engaging different stakeholders. #OBAnes #OAA23ASM
A Benjamin Franklin quote to segway to @LimGrapes’ conclusions - ask her a question (on Twitter if you’re brave)? #OBAnes #OAA23ASM
@threadreaderapp unroll please
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