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  • 1.
    Tanious, Mariah K.
    et al.
    Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston MA, USA.
    Ljungqvist, Olle
    Örebro University, School of Medical Sciences. Faculty of Medicine and Health, Department of Surgery, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Urman, Richard D.
    Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston MA, USA.
    Enhanced Recovery After Surgery: History, Evolution, Guidelines, and Future Directions2017In: International Anesthesiology Clinics, ISSN 0020-5907, E-ISSN 1537-1913, Vol. 55, no 4, p. 1-11Article, review/survey (Refereed)
    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.

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