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Antinausea Protocol Reduces Hospital Length of Stay for Laparoscopic Nissen Fundoplication by Hannon, James D.; Warner, Lindsay L.; Stewart, Thomas M.; Kor, Todd M.; Blackmon, Shanda H.; Brown, Michael J.; Subramanian, Arun is a Medicine article available to read on EtoBox.

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## Objective: The perioperative course of patients undergoing laparoscopic nissen fundoplication (lnf) was reviewed to determine whether the use of a new treatment protocol consisting of total intravenous anesthesia (tiva) plus triple antiemetic therapy was associated with shorter hospital length of stay (hlos). ## Design: Retrospective cohort. ## Setting: Single academic center. ## Participants: The study comprised 448 patients. fifty-four patients undergoing lnf who received tiva were compared with 394 who received standard inhalational anesthesia (non-tiva) between january 2010 and june 2017. ## Interventions: Patients who received tiva were compared with those who received non-tiva. ## Measurements and main results: In multivariate analysis, tiva was significantly associated with reduced hlos (odds ratio 2.91, 95% confidence interval 1.47-5.78) and a 7.8% reduction in cost of care (p < 0.01). female sex, length of surgery, and older age all were negatively associated with length of stay. the association between the use of tiva and reduced hlos and institutional cost was compared using univariate and multivariate analyses. ## Conclusions: The use of tiva in patients undergoing u

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Author

Hannon, James D.; Warner, Lindsay L.; Stewart, Thomas M.; Kor, Todd M.; Blackmon, Shanda H.; Brown, Michael J.; Subramanian, Arun

Publisher

Elsevier Science; Elsevier ; W. B. Saunders Co., Ltd.; Elsevier BV (ISSN 1532-8422)

Published

2020

Language

EN

Field

Medicine (Health Sciences)