ArticleIndian journal of anaesthesia2026
Closing the implementation gap: Process outcomes following a structured intraoperative bundle for emergency laparotomy.
Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Emergency laparotomy is associated with substantial morbidity and mortality. This study assessed the impact of the structured intraoperative component of Singapore's Emergency Laparotomy Audit (EMLA), inspired by the National Emergency Laparotomy Audit (NELA) conducted in the United Kingdom, in patients undergoing emergency laparotomy in an Asian context. Methods: This prospective, single-centre quality improvement study was conducted at a 700-bed tertiary hospital using iterative Plan-Do-Study-Act cycles. Adult patients (aged 18 years or older) who underwent emergency laparotomy between August 2020 and August 2024 were included ( Results: The presence of a consultant anaesthesiologist increased from 89.6% to 98.8% ( Conclusion: Implementation of the structured intraoperative EMLA bundle improved consultant coverage and maintained high adherence to GDHT. Consultant presence was associated with a 42% relative reduction in medical complications; however, causality cannot be established in this quality improvement project. Persistent hypothermia highlights the need for enhanced temperature management strategies.
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