Analysis of postoperative recovery room retention in gastrointestinal cancer patients with enhanced recovery after surgery

Abstract:

Objective：To explore the possible factor of postoperative recovery room retention in gastrointestinal cancer patients with enhanced recovery after surgery（ERAS）. Methods：Consecutive cases of gastrointestinal cancer surgery with ERAS in gastrointestinal surgery department of our hospital from March 1，2019 to September 30，2019 were retrospectively analyzed and were divided into the delayed extubation group（extubation time more than 15 minutes） and the normal extubation group（extubation time less than or equal to 15 minutes）（n=75）. The gender，age，operation time，the time of the last analgesic administration to the end of the operation，and the retention time in the recovery room in two groups were analyzed. Results：The age of patients in the delayed extubation group [（66.70±9.25） years old] was significantly higher than that in the normal extubation group[（53.42±17.12） years old]（P=0.000）. The operation time of the delayed extubation group[（172.93±75.31） min] was significantly longer than that in the normal extubation group（147.80±70.62） min]（P=0.035）. The time of the last analgesic administration to the end of the operation was significantly shorter in the delayed extubation group[（32.30±22.17） min] than that in the normal extubation group[（46.09±34.64） min]（P=0.004）. The retention time in the recovery room in the delayed extubation group[（90.99±25.95） min] was significantly longer than that in the control group[（66.97±15.77） min]（P=0.000）. Conclusion：Optimizing the surgical procedure and strengthening the man－agement of intraoperative anesthesia can reduce the postoperative recovery room retention time of gastrointestinal cancer patients with ERAS.