Chen L, Li BX, Gan QZ, Guo RG, Chen X, Shen X, Chen Y. Enhanced recovery after surgery-based evidence-based care plus ice stimulation for thirst management in convalescent patients following digestive surgery under general anesthesia. World J Gastrointest Surg 2025; 17(3): 100185 [DOI: 10.4240/wjgs.v17.i3.100185]
Corresponding Author of This Article
Yan Chen, Department of Anesthesiology, Central War Zone General Hospital, No. 627 Wuluo Road, Wuchang District, Wuhan 430010, Hubei Province, China. 13871482186@163.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Mar 27, 2025; 17(3): 100185 Published online Mar 27, 2025. doi: 10.4240/wjgs.v17.i3.100185
Enhanced recovery after surgery-based evidence-based care plus ice stimulation for thirst management in convalescent patients following digestive surgery under general anesthesia
Li Chen, Bi-Xi Li, Qiu-Zhi Gan, Rui-Ge Guo, Xing Chen, Xi Shen, Yan Chen
Li Chen, Qiu-Zhi Gan, Rui-Ge Guo, Xing Chen, Xi Shen, Department of Anesthesiology, Hankou Medical District, Central War Zone General Hospital, Wuhan 430010, Hubei Province, China
Bi-Xi Li, Department of Anesthesiology, Central Theater General Hospital, Wuhan 430010, Hubei Province, China
Yan Chen, Department of Anesthesiology, Central War Zone General Hospital, Wuhan 430010, Hubei Province, China
Author contributions: Chen L designed the research and wrote the first manuscript; Chen L, Li BX and Gan QZ contributed to conceiving the research and analyzing data; Li Chen, Guo RG, Chen X and Shen X conducted the analysis; Li Chen and Chen Y provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Central War Zone General Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There is no conflict of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan Chen, Department of Anesthesiology, Central War Zone General Hospital, No. 627 Wuluo Road, Wuchang District, Wuhan 430010, Hubei Province, China. 13871482186@163.com
Received: October 31, 2024 Revised: December 12, 2024 Accepted: January 13, 2025 Published online: March 27, 2025 Processing time: 115 Days and 18.6 Hours
Core Tip
Core Tip: After a digestive surgery performed under general anesthesia, thirst management in patients during the recovery phase requires great attention because patients who underwent such surgical procedures typically require an extended duration to revert to feasible and normal water consumption. This study aims to analyze the application of evidence-based care (EBC), based on enhanced recovery after surgery (ERAS), in conjunction with ice stimulation therapy, to address thirst management in convalescent patients who underwent digestive surgery under general anesthesia. A comprehensive analysis was performed to investigate various factors including degree of thirst, degree of thirst distress, wetness of the oral mucosa, unstimulated whole salivary flow rate, adverse reactions, and nursing satisfaction. Reportedly, ERAS-based EBC plus ice stimulation therapy effectively alleviated thirst severity experienced by patients convalescing after a digestive surgery performed under general anesthesia, ameliorated xerostomia symptoms, diminished adverse reactions, and augmented patient comfort. Moreover, the study furnished valuable clinical evidence concerning the prophylaxis and thirst treatment after digestive surgery under general anesthesia.
