Evidence map›Paper›PMID 31142954›Full record

ReviewJournal of anaesthesiology, clinical pharmacology2019

Preoperative patient preparation in enhanced recovery pathways.

Usama Iqbal, Jeremy B Green, Srikant Patel, Yiru Tong, Marcus Zebrower, Alan D Kaye, Richard D Urman, Matthew R Eng, Elyse M Cornett, Henry Liu

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of anaesthesiology, clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Prehabilitation in Head and Neck Surgery and Reconstruction.Plastic and reconstructive surgery. Global open · 2026
    Article
  5. Review
  6. Review
  7. Perioperative Care for Bariatric Surgery.Diagnostics (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Update on preoperative evaluation and optimisation.Indian journal of anaesthesia · 2023
    Article
  15. Advances in the management of peritoneal malignancies.Nature reviews. Clinical oncology · 2022
    Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Usama IqbalDepartment of Anesthesiology and Perioperative Medicine, Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Jeremy B GreenDepartment of Anesthesiology, LSU Health Sciences Center New Orleans, New Orleans, LA, USA.
Srikant PatelDepartment of Anesthesiology and Perioperative Medicine, Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Yiru TongDepartment of Anesthesiology, Shanghai Children's Hospital, Shanghai, China.
Marcus ZebrowerDepartment of Anesthesiology and Perioperative Medicine, Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Alan D KayeDepartment of Anesthesiology, LSU Health Sciences Center New Orleans, New Orleans, LA, USA.
Richard D UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Matthew R EngDepartment of Anesthesiology, LSU Health Sciences Center New Orleans, New Orleans, LA, USA.
Elyse M CornettDepartment of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA.
Henry LiuDepartment of Anesthesiology and Perioperative Medicine, Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Drexel University · USLouisiana State University Health Sciences Center Shreveport · USShanghai Children's Hospital · CNBrigham and Women's Hospital · USHahnemann University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced recovery pathways are a novel approach focused on enhancing the care of surgical patients. "Prehabilitation" is the term applied to any intervention administered before surgery to reduce surgery-related morbidity, decrease the length of hospital stay, expedite the return of organ function, and facilitate the patient's return to normal life. A PubMed search was performed with the following key words: enhanced recovery, preoperative preparation, cessation of smoking and euvolemia. The results from this Pubmed search revealed that female patients may have higher levels of anxiety than male patients. Intensive smoking and alcohol cessation 6-8 weeks before elective surgery may reduce the incidence of postoperative morbidity. Preoperative exercise can be effective for reducing the postoperative complications like pulmonary complications and shortening the length of hospital stay. It is safe to allow patients to drink clear fluids up until 2 h before elective surgery (Level II evidence). Perioperative normoglycemia is the single most important factor to prevent surgical site infection. Intermittent pneumatic compression devices and low molecular weight heparin are effective in preventing postoperative thromboembolism. No advantage is gained by preoperative mechanical bowel preparation in elective colorectal surgery. The goal of preoperative fluid management is for the patient to arrive in the operating room in a hydrated and euvolemic state. Mild perioperative hypothermia may promote surgical wound infection by triggering thermoregulatory vasoconstriction, which decreases subcutaneous oxygen tension.

Indexed as

Cessation of smokingenhanced recoveryeuvolemiapreoperative preparation

Identifiers

PMID31142954
PMCPMC6515717
OpenAlexW2948813745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.