Amir Elhassan1, Ihab Elhassan1, Amjad Elhassan2, Krish D Sekar3, Ryan E Rubin3, Richard D Urman4, Elyse M Cornett5, Alan David Kaye3. 1. Department of Anesthesiology, Ohio State University School of Medicine, Columbus, OH, USA. 2. University of North Carolina, Chapel Hill, NC, USA. 3. Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA. 4. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 5. LSU Health Shreveport, Department of Anesthesiology, 1501 Kings Highway, Shreveport, LA, 71103, USA. ecorne@lsuhsc.edu.
Abstract
PURPOSE OF REVIEW: Enhanced recovery pathways provide a framework outlining the best perioperative care for intra-abdominal surgical procedures. To date, no evidence-based umbrella guidelines exist for all intra-abdominal surgeries. RECENT FINDINGS: PubMed and worldwide web searches were performed with the keywords: "ERAS," "Enhanced Recovery After Surgery," +/- "protocol." Manuscripts addressing intra-abdominal procedures were selected with the date range 2012-2017. The enhanced recovery philosophy is based in the realization that a traditional hospital works in silos that need to be broken to ensure a care protocol that follows and optimizes the journey the patient makes during the perioperative care. Enhanced recovery interventions can be categorized into preoperative, perioperative, and postoperative interventions. By design each intervention is planned and coordinated by a multidisciplinary ERAS team. The interventions discussed in this manuscript should be applied to patients on an individual basis depending on their needs. In this review, the most common elements of ERAS protocols in intra-abdominal procedures are reviewed, particularly those which provided the best outcomes and are generalized to all intra-abdominal procedures.
PURPOSE OF REVIEW: Enhanced recovery pathways provide a framework outlining the best perioperative care for intra-abdominal surgical procedures. To date, no evidence-based umbrella guidelines exist for all intra-abdominal surgeries. RECENT FINDINGS: PubMed and worldwide web searches were performed with the keywords: "ERAS," "Enhanced Recovery After Surgery," +/- "protocol." Manuscripts addressing intra-abdominal procedures were selected with the date range 2012-2017. The enhanced recovery philosophy is based in the realization that a traditional hospital works in silos that need to be broken to ensure a care protocol that follows and optimizes the journey the patient makes during the perioperative care. Enhanced recovery interventions can be categorized into preoperative, perioperative, and postoperative interventions. By design each intervention is planned and coordinated by a multidisciplinary ERAS team. The interventions discussed in this manuscript should be applied to patients on an individual basis depending on their needs. In this review, the most common elements of ERAS protocols in intra-abdominal procedures are reviewed, particularly those which provided the best outcomes and are generalized to all intra-abdominal procedures.
Authors: Mark R Jones; Ethan Y Brovman; Amy E Wagenaar; Samuel P Ang; Edward E Whang; Alan D Kaye; Richard D Urman Journal: Psychopharmacol Bull Date: 2020-10-15