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13 results on '"French, W. Brenton"'

1. Enhanced Recovery After Surgery (ERAS®) Society Consensus Guidelines for Emergency Laparotomy Part 3: Organizational Aspects and General Considerations for Management of the Emergency Laparotomy Patient

Author

Peden, Carol J., Aggarwal, Geeta, Aitken, Robert J., Anderson, Iain D., Balfour, Angie, Foss, Nicolai Bang, Cooper, Zara, Dhesi, Jugdeep K., French, W. Brenton, Grant, Michael C., Hammarqvist, Folke, Hare, Sarah P., Havens, Joaquim M., Holena, Daniel N., Hübner, Martin, Johnston, Carolyn, Kim, Jeniffer S., Lees, Nicholas P., Ljungqvist, Olle, Lobo, Dileep N., Mohseni, Shahin, Ordoñez, Carlos A., Quiney, Nial, Sharoky, Catherine, Urman, Richard D., Wick, Elizabeth, Wu, Christopher L., Young-Fadok, Tonia, and Scott, Michael J.

Published
2023
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2. Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS®) Society Recommendations Part 2—Emergency Laparotomy: Intra- and Postoperative Care

Author

Scott, Michael J., Aggarwal, Geeta, Aitken, Robert J., Anderson, Iain D., Balfour, Angie, Foss, Nicolai Bang, Cooper, Zara, Dhesi, Jugdeep K., French, W. Brenton, Grant, Michael C., Hammarqvist, Folke, Hare, Sarah P., Havens, Joaquim M., Holena, Daniel N., Hübner, Martin, Johnston, Carolyn, Kim, Jeniffer S., Lees, Nicholas P., Ljungqvist, Olle, Lobo, Dileep N., Mohseni, Shahin, Ordoñez, Carlos A., Quiney, Nial, Sharoky, Catherine, Urman, Richard D., Wick, Elizabeth, Wu, Christopher L., Young-Fadok, Tonia, and Peden, Carol J.

Published
2023
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4. Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization

Author

Peden, Carol J., Aggarwal, Geeta, Aitken, Robert J., Anderson, Iain D., Bang Foss, Nicolai, Cooper, Zara, Dhesi, Jugdeep K., French, W. Brenton, Grant, Michael C., Hammarqvist, Folke, Hare, Sarah P., Havens, Joaquim M., Holena, Daniel N., Hübner, Martin, Kim, Jeniffer S., Lees, Nicholas P., Ljungqvist, Olle, Lobo, Dileep N., Mohseni, Shahin, Ordoñez, Carlos A., Quiney, Nial, Urman, Richard D., Wick, Elizabeth, Wu, Christopher L., Young-Fadok, Tonia, and Scott, Michael

Published
2021
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5. Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS®) Society Recommendations Part 2—Emergency Laparotomy: Intra- and Postoperative Care.

Author

Scott, Michael J., Aggarwal, Geeta, Aitken, Robert J., Anderson, Iain D., Balfour, Angie, Foss, Nicolai Bang, Cooper, Zara, Dhesi, Jugdeep K., French, W. Brenton, Grant, Michael C., Hammarqvist, Folke, Hare, Sarah P., Havens, Joaquim M., Holena, Daniel N., Hübner, Martin, Johnston, Carolyn, Kim, Jeniffer S., Lees, Nicholas P., Ljungqvist, Olle, and Lobo, Dileep N.

Subjects
PERIOPERATIVE care, POSTOPERATIVE care, SURGERY, ENHANCED recovery after surgery protocol, ABDOMINAL surgery, ELECTIVE surgery
Abstract

Background: This is Part 2 of the first consensus guidelines for optimal care of patients undergoing emergency laparotomy (EL) using an Enhanced Recovery After Surgery (ERAS) approach. This paper addresses intra- and postoperative aspects of care. Methods: Experts in aspects of management of high-risk and emergency general surgical patients were invited to contribute by the International ERAS® Society. PubMed, Cochrane, Embase, and Medline database searches were performed for ERAS elements and relevant specific topics. Studies on each item were selected with particular attention to randomized clinical trials, systematic reviews, meta-analyses, and large cohort studies and reviewed and graded using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Recommendations were made on the best level of evidence, or extrapolation from studies on elective patients when appropriate. A modified Delphi method was used to validate final recommendations. Some ERAS® components covered in other guideline papers are outlined only briefly, with the bulk of the text focusing on key areas pertaining specifically to EL. Results: Twenty-three components of intraoperative and postoperative care were defined. Consensus was reached after three rounds of a modified Delphi Process. Conclusions: These guidelines are based on best available evidence for an ERAS® approach to patients undergoing EL. These guidelines are not exhaustive but pull together evidence on important components of care for this high-risk patient population. As much of the evidence is extrapolated from elective surgery or emergency general surgery (not specifically laparotomy), many of the components need further evaluation in future studies. [ABSTRACT FROM AUTHOR]

Published
2023
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9. Hypoglycemia Following Bariatric Surgery: Our Thirty-One Year Experience

Author

Michaels, Alex D., Mehaffey, J. Hunter, French, W. Brenton, Schirmer, Bruce D., Kirby, Jennifer L., and Hallowell, Peter T.

Subjects
Adult, Glycated Hemoglobin, Male, Incidence, Bariatric Surgery, Humans, Female, Middle Aged, Article, Hypoglycemia, Obesity, Morbid, Retrospective Studies
Abstract

The purposes of this study are to identify the cumulative incidence of post-bariatric surgery hypoglycemia (PBSH), describe its symptomatology, and characterize treatment patterns at a large academic institution.All patients who underwent bariatric surgery at a single institution from 1985 to 2015 were identified using a clinical database, administrative billing data identified patients who were treated for hypoglycemia, and chart reviews were performed to make a diagnosis of PBSH based on Whipple's triad. PBSH cases were reviewed including patient diabetes history, symptomatology, and treatment measures. Univariate analyses were performed to identify correlations based on symptomatology, laboratory values, and treatments utilized.Ninety (2.6%) of 3487 patients were diagnosed with PBSH with preoperative median age of 43 years, mean BMI of 50.0 kg/mPBSH onset and severity are highly variable. Successful management of these patients can prove difficult and should include dietary therapy, the selective use of pharmacotherapy and surgery, and the use of a multidisciplinary team including bariatric surgeons and endocrinologists.

Published
2017

13. Fluid and Hemodynamics

Author

French, W. Brenton and Scott, Michael J.

Abstract

Several components of an Enhanced Recovery After Surgery (ERAS) pathway act to improve and simplify perioperative fluid and hemodynamic therapy. Modern perioperative fluid management has shifted away from the liberal fluid therapy and toward more individualized approaches. Clinical evidence has also emphasized the importance of maintaining adequate mean arterial pressure and avoiding intraoperative hypotension. Goal-directed hemodynamic therapy (GDHT), or the use of cardiac output monitoring to guide fluid and vasopressor use, has been shown to reduce complications, but its role within ERAS pathways is likely best-suited to high-risk patients or those undergoing high-risk procedures. This article reviews the mechanisms by which ERAS pathways aid the provider in hemodynamic management, reviews trends, and evidence regarding fluid and hemodynamic therapy approaches, and provides guidance on the practical implementation of these concepts within ERAS pathways.

Published
2021
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