sabato, dicembre 18, 2010

Enhanced Recovery After Surgery (ERAS = Fast Track Surgery)

Enhanced Recovery Programme 2010

Modern techniques such as the introduction of laparoscopic surgery and the advent of newer anaesthetic agents have improved the recovery of patients after surgery. However post operative recovery is a multifactorial process depending on the after care as well as the immediate surgical and anaesthetic procedure. This course reviews the entire patient journey addressing all of the processes that influence the rate of post operative recovery in order to ensure that patients return to their pre-operative status as soon as possible. The roles of anaesthesia, surgery, early mobilisation and feeding and pre and post operative nursing are discussed in order to develop protocols that can lead to patients being discharged as soon as 3 days after major colonic surgery.

mercoledì, dicembre 15, 2010

nella realta' - nella malattia

The problem is that administrators who do the dirty work simply do not care, and doctors are pushed out because they have "high complication rates" or "judgement issues". All of this jeopardizes doctor's chances of getting a job elsewhere. Major hospitals obviously do not care, but the individual physician and his family does.

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nella malattia,

...se combatti puoi vincere, se non combatti hai gia' perso!

domenica, dicembre 12, 2010

M&M, Morbidity and Mortality conference

Morbidity and Mortality

La conferenza M&M e' (Morbilita' e Mortalita') una tappa importante per il miglioramento istituzionale del trattamento del paziente.

Li' dove manca la conferenza M&M ci puo' essere un miglioramento individuale ma non corale della struttura.

La conferenza M&M e' garanzia di qualita' per il cittadino ed un atto di umilta' degli operatori sanitari.

M&M in italiano