O-OGC05 Every veneSection Counts – can we improve patient experience in high-risk upper gastointestinal surgery patients?

Abstract Background Patients with upper gastrointestinal (UGI) malignancy undergo major surgical resections resulting in significant postoperative inpatient stays. Central venous access is utilised to aid management of intraoperative physiology, immediate post-operative care and perioperative complications, which are often complex. catheters (CVC) peripheral intravenous (IV) cannulae have a relatively short safe duration; consequently these patients numerous unpleasant attempts. Our aim was optimise quality patient satisfaction this high-risk group, by inserting Peripherally Inserted Catheters (PICCs) pre-operatively facilitate administration medications, fluids blood sampling. Methods We reviewed group from October 2019 May 2020;recording numbers IV cannuale, CVCs any associated complications. From September 2020, all deemed high-risk, undergoing UGI resection were offered PICC, inserted pre-operatively. recorded data on use alternative devices, stabs, complications overall experience. Results Over the first 6 month period we sited 30 PICCs - significantly fewer required CVC (9% vs 64%) PICC lines remained situ for much longer than (mean 17 days 4.7 days). The 2.73 5.95 per patient). One suffered deep vein thrombosis (DVT) but there no other adverse consequences. Two (9%) treated fast ventricular response Atrial Fibrillation successfully their ward, Amiodarone via negating need critical admission. baseline study stabs sampling most stay (median 12.5 days), whereas majority samples taken post-intervention group. Satisfaction scores high 100% cases. Conclusions introduction our has been huge success, positively influencing journey. There demonstrable outcome benefits reduction CVCs, cannulations phlebotomy In addition, it facilitated easier timelier medication, optimising patients’ experiences care.