Complication avoidance and management in anterior lumbar interbody fusion

Khoi D. Than, Anthony C. Wang, Shayan U. Rahman, Thomas J. Wilson, Juan M. Valdivia, Paul Park, Frank La Marca
2011 Neurosurgical Focus  
Program Audience: This program is intended for colorectal surgeons, general surgeons, anesthesiologists, and other surgical specialties. OBJECTIVES • Physicians will learn how to identify gastrointestinal, pain-associated, and other clinical findings characteristic and/or diagnostic of postoperative ileus (POI) • Physicians will learn the pharmacological, mechanical, procedural, disease-specific, and inflammation-related risk factors for POI • Physicians will learn objective measurements,
more » ... al features, and prognostic factors that can be used to define POI, and how to stratify patients at risk for acquiring POI • Physicians will learn the pharmacoeconomic and resource utilization consequences of POI, as well as the importance of postoperative recovery of gastrointestinal function and resumption of oral intake as critical determinants of the length of hospital stay • Physicians will learn the role of pharmacotherapeutic interventions, as part of a multimodal approach, to reducing incidence and severity of POI NEEDS ASSESSMENT The rationale for producing this CME-certified clinical monograph focusing on postoperative ileus management is based on the results of a needs assessment survey conducted in 2004-2005. Results of this clinical needs assessment survey indicated an interest on the part of specialists in topics related to detection, screening, risk stratification, patient selection, monitoring, and management of patients with postoperative ileus. Among the specific topic areas survey respondents indicated practitioners wished to be covered within the framework of evidence-based, CME programming were the following: (1) How to identify gastrointestinal, pain-associated, and other clinical findings characteristic and/or diagnostic of postoperative ileus (POI); (2) Objective measurements, clinical features, and prognostic factors that can be used to define POI; (3) Postoperative complications associated with POI; (4) Pharmacoeconomic and resource utilization consequences of POI; (5) The role of pharmacotherapeutic interventions, as part of a multimodal approach, to reducing incidence and severity of POI; (6) Patient selection and identification for pharmacologic approaches to reducing severity and duration of POI; and (7) Strategies for improving the management of postoperative ileus (POI) using risk stratification criteria predicting patients at risk for POI
doi:10.3171/2011.7.focus11141 pmid:21961869 fatcat:ldqdnxy4f5fn7cgluiqpeddso4