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 .
Validation of the urostomy education scale: the European experience.
Bladder cancer is the fourth most common cancer among European males . Once diagnosed with muscle invasive bladder cancer , a radical cystectomy is the first line treatment , which results in a urostomy . The placement of a urostomy and the care required impacts the patient 's life . Previous research vali date d the Urostomy Education Scale  as the first st and ardized tool capable of documenting the patients ' level of stoma self-care skills and useful to guide patient education interventions . A Danish-Dutch Fellowship was established to support and provide further evidence of applicability of the Urostomy Education Scale
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 .