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All Journal Jurnal Anestesi Perioperatif AcTion: Aceh Nutrition Journal Journal of Anaesthesia and Pain Solo Journal of Anesthesi, Pain and Critical Care Jurnal Neuroanestesi Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia The International Journal of Tropical Veterinary and Biomedical Research
Jasa, Zafrullah Khany
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Implementation of Enhanced Recovery After Caesarean Section (ERACS) in Elective Procedure : A Case Report Sardimon, Sardimon; Yusmalinda, Yusmalinda; Jasa, Zafrullah Khany; Rahmi, Rahmi; Amin, Fauzan Bachtiar
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 2, No 2 (2022): October 2022
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v2i2.58950

Abstract

Background: Enhanced Recovery After Cesarean Section (ERACS) protocol includes every component of the pre-operative, intra-operative and post-operative pathway. In the pre-operative phase, the protocol applied to this patient included the shortest possible fasting interval, oral intake of liquid carbohydrate and patient counselling. For intra-operative pathway, the components applied are prevention of hypotension, maintenance of normothermia, optimal uterotonic administration, IONV (intra-operative nausea and vomiting)/PONV (post-operative nausea and vomiting) prophylaxis, multi-modal analgesia and optimization of fluid administration. Post-operatively, the patient was given early nutritional intake, early mobilization, urinary catheter removal, venous thrombo-embolism prophylaxis, multi-modal analgesia and glycemic control. ERACS prove useful for early discharge, improving outcomes such as breastfeeding or reducing post-discharge opioid use.Case Illustration: A 31-year-old woman came with the chief complaint of fluid discharge since ± 3 hours prior to admission to the hospital. Based on the medical history, physical examination, and laboratory findings, the patient was diagnosed with premature rupture of membranes in a gestational age of 37-38 weeks and had a live, single-headed presentation of the fetus. Patient’s physical status is ASA II and scheduled for elective C-section procedure with spinal anesthesia.Conclusion: The implementation of the ERACS protocol in this case has been shown to reduce the rate of infection and post operative complications as well as reducing length of stay for the mother.
Co-Authors Al-Mathari, Alif Amin, Fauzan Bachtiar Arief Cahyadi Arief, Hafizh Burhanuddin Burhanuddin Deswita, Rinda Dewi Yulianti Bisri Farhana, Rika Herlina Dimiati, Herlina Iwan Abdul Rachman Mafiana, Rose - Muhammad, Insyirah Munawar, Emil Niazie, Azzie Rahman, Iwan Abdul Rahmi Rahmi Riswandi Rose Mafiana Sardimon, Sardimon Tatang Bisri Teuku Romi Imansyah Putra Uhud, Akhyar Nur Utami, Niken Asri Widiastuti, Monika Yusmalinda, Yusmalinda Zulkifli, Baidillah