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Enhanced Recovery After Surgery: History, Evolution, Guidelines, and Future Directions
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston Massachusetts, USA.
Örebro University, School of Medical Sciences. Department of surgery.ORCID iD: 0000-0003-2636-4745
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston Massachusetts, USA.
2017 (English)In: International Anesthesiology Clinics, ISSN 0020-5907, E-ISSN 1537-1913, Vol. 55, no 4, 1-11 p.Article, review/survey (Refereed) Published
Abstract [en]

With the desire to improve the quality of care and decrease costs, many health care facilities, both nationally and internationally, have sought to standardize approaches to perioperative care. The major goals are to decrease length of hospital stay (LOS), decrease surgical complications, and increase patient satisfaction after surgery. Enhanced Recovery After Surgery (ERAS®) protocols represent one such standardization—using evidence-based methods to reduce operation-induced stress and preserve anabolic homeostasis—with a considerable potential to revolutionize the care of surgical patients. ERAS concepts incorporate multipronged, data-driven interventions targeting periods before, during, and after surgery; it guides clinical decision-making around factors such as preoperative fasting, intraoperative goal-directed fluid therapy, surgical approaches, timing of postoperative drain removal, and diet advancement, among many others.

Place, publisher, year, edition, pages
Philadelphia, USA: Lippincott Williams & Wilkins, 2017. Vol. 55, no 4, 1-11 p.
National Category
Anesthesiology and Intensive Care
Research subject
Anaesthesiology
Identifiers
URN: urn:nbn:se:oru:diva-61223DOI: 10.1097/AIA.0000000000000167ISI: 000411153700001PubMedID: 28901977OAI: oai:DiVA.org:oru-61223DiVA: diva2:1146572
Available from: 2017-10-03 Created: 2017-10-03 Last updated: 2017-10-13Bibliographically approved

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