Faculty Sponsor(s)
Jana Taylor
Location
Jereld R. Nicholson Library
Subject Area
Nursing
Description
Background: Hospitals seek to maximize efficiency in stabilizing and discharging post-operative patients. The post-operative length of stay (LOS) for laparoscopic cholecystectomy surgeries in the short stay unit of a community hospital in the Portland area varies significantly with an average LOS of 170 minutes.
Purpose: The purpose of this study was to isolate factors associated with decreased post-operative LOS for laparoscopic cholecystectomy surgeries to identify procedural changes that would help meet the goal of an average 120 minutes LOS.
Methods: EPIC charts of 41 patients who received a laparoscopic cholecystectomy since July 1st 2014 were reviewed for data on specific factors of perioperative care. A literature review was also conducted to gather information on evidence based standards of care.
Results: Data showed no differences in post-operative LOS for laparoscopic cholecystectomy patients based on gender, use of a nerve block, or pre-operative Xanax administration. Patients with the shortest LOS, under 120 minutes, received an average of three different antiemetics. Evidence based literature recommends using a combination of antiemetics during surgery to prevent post-operative nausea and vomiting (PONV).
Discussion/Recommendation: PONV is a leading factor contributing to increased length of stay. The results of this study, along with evidence-based literature, suggests that a combination of at least three antiemetics during surgery can decrease PONV and thus decrease post-operative LOS for laparoscopic cholecystectomies.
Recommended Citation
Cartwright, Kathryn; Sayer, Alexis; and Phan, Alysha, "Length of Stay for Laparoscopic Cholecystectomy" (2015). Linfield University Student Symposium: A Celebration of Scholarship and Creative Achievement. Event. Submission 34.
https://digitalcommons.linfield.edu/symposium/2015/all/34
Length of Stay for Laparoscopic Cholecystectomy
Jereld R. Nicholson Library
Background: Hospitals seek to maximize efficiency in stabilizing and discharging post-operative patients. The post-operative length of stay (LOS) for laparoscopic cholecystectomy surgeries in the short stay unit of a community hospital in the Portland area varies significantly with an average LOS of 170 minutes.
Purpose: The purpose of this study was to isolate factors associated with decreased post-operative LOS for laparoscopic cholecystectomy surgeries to identify procedural changes that would help meet the goal of an average 120 minutes LOS.
Methods: EPIC charts of 41 patients who received a laparoscopic cholecystectomy since July 1st 2014 were reviewed for data on specific factors of perioperative care. A literature review was also conducted to gather information on evidence based standards of care.
Results: Data showed no differences in post-operative LOS for laparoscopic cholecystectomy patients based on gender, use of a nerve block, or pre-operative Xanax administration. Patients with the shortest LOS, under 120 minutes, received an average of three different antiemetics. Evidence based literature recommends using a combination of antiemetics during surgery to prevent post-operative nausea and vomiting (PONV).
Discussion/Recommendation: PONV is a leading factor contributing to increased length of stay. The results of this study, along with evidence-based literature, suggests that a combination of at least three antiemetics during surgery can decrease PONV and thus decrease post-operative LOS for laparoscopic cholecystectomies.
