Intraoperatively , a fluid and opioid sparing protocol may reduce fluid shifts and avoid complications from paralytic ileus .
Finally , enhanced recovery protocol s including novel medications , early feeding , and multi-modal analgesia approaches are associated with earlier postoperative convalescence .
CONCLUSION RC is a complex and morbid procedure that may benefit from care re design .
OBJECTIVE To present an evidence -based review of the perioperative management of the radical cystectomy ( RC ) patient in the context of a care re design initiative .
Does preoperative teaching and stoma site marking affect surgical outcomes in patients undergoing ostomy surgery?
Summary of Studies on Inﬂuence of Preoperative Teaching on Postoperative Outcomes Study Methods Outcomes Haugen , Bliss , & Savik 17 Chaudhri et al 18 Gulbiniene et al 19 Abbreviations : RCT , R and omized Clinical Trial ; HRQoL , Health Related Quality of Life . Cross-sectional survey of community-dwellingpersons with an incontinent ostomy RCT , compared traditional preoperativeeducation to intensive teaching interventionusing community-based nurses with expertisein colorectal and ostomy nursingCompared control group to group receivingpreoperative education and stoma sitemarking ;  method of group assignment notspeciﬁed in English- language abstract Preoperative education by WOC nurse associatedwith improved long-term adjustment to livingwith an ostomyIntensive  , community-based education reduced the time to pouching efﬁciency , length ofpostoperative hospital stay , and unplannedostomy-related interventions when compared totraditional preoperative educationPreoperative teaching alone did not improveHRQoL , but preoperative teaching combined withstoma site marking by a stoma therapist didimprove postoperative
Intraoperatively , a fluid and opioid sparing protocol may reduce fluid shifts and avoid complications from paralytic ileus .
Finally , enhanced recovery protocol s including novel medications , early feeding , and multi-modal analgesia approaches are associated with earlier postoperative convalescence .
CONCLUSION RC is a complex and morbid procedure that may benefit from care re design .
OBJECTIVE To present an evidence -based review of the perioperative management of the radical cystectomy ( RC ) patient in the context of a care re design initiative .