Invited Commentary: “Guidelines for Perioperative Care for Emergency: Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization”

2021 ◽  
Author(s):  
Hans D. de Boer ◽  
Nicolas Demartines
Keyword(s):  
Perioperative Care ◽  
Preoperative Diagnosis ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Rapid Assessment ◽  
Emergency Laparotomy

scholarly journals Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization

2021 ◽  
Author(s):  
Carol J. Peden ◽  
Geeta Aggarwal ◽  
Robert J. Aitken ◽  
Iain D. Anderson ◽  
Nicolai Bang Foss ◽  
...  
Keyword(s):  
High Risk ◽  
English Language ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Preoperative Care ◽  
Surgical Patient ◽  
Emergency Laparotomy ◽  
Emergency General Surgery ◽  
Optimal Care ◽  
Level Of Evidence

Abstract Background Enhanced Recovery After Surgery (ERAS) protocols reduce length of stay, complications and costs for a large number of elective surgical procedures. A similar, structured approach appears to improve outcomes, including mortality, for patients undergoing high-risk emergency general surgery, and specifically emergency laparotomy. These are the first consensus guidelines for optimal care of these patients using an ERAS approach. Methods Experts in aspects of management of the high-risk and emergency general surgical patient were invited to contribute by the International ERAS® Society. Pubmed, Cochrane, Embase, and MEDLINE database searches on English language publications were performed for ERAS elements and relevant specific topics. Studies on each item were selected with particular attention to randomized controlled trials, systematic reviews, meta-analyses and large cohort studies, and reviewed and graded using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Recommendations were made on the best level of evidence, or extrapolation from studies on non-emergency patients when appropriate. The Delphi method was used to validate final recommendations. The guideline has been divided into two parts: Part 1—Preoperative Care and Part 2—Intraoperative and Postoperative management. This paper provides guidelines for Part 1. Results Twelve components of preoperative care were considered. Consensus was reached after three rounds. Conclusions These guidelines are based on the best available evidence for an ERAS approach to patients undergoing emergency laparotomy. Initial management is particularly important for patients with sepsis and physiological derangement. These guidelines should be used to improve outcomes for these high-risk patients.

Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations

2012 ◽  
Vol 31 (6) ◽  
pp. 783-800 ◽  
Author(s):  
U.O. Gustafsson ◽  
M.J. Scott ◽  
W. Schwenk ◽  
N. Demartines ◽  
D. Roulin ◽  
...  
Keyword(s):  
Perioperative Care ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Colonic Surgery

Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations

2012 ◽  
Vol 31 (6) ◽  
pp. 817-830 ◽  
Author(s):  
Kristoffer Lassen ◽  
Marielle M.E. Coolsen ◽  
Karem Slim ◽  
Francesco Carli ◽  
José E. de Aguilar-Nascimento ◽  
...  
Keyword(s):  
Perioperative Care ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery

scholarly journals Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

2020 ◽  
Vol 44 (8) ◽  
pp. 2482-2492 ◽  
Author(s):  
Mary E. Brindle ◽  
Caraline McDiarmid ◽  
Kristin Short ◽  
Kathleen Miller ◽  
Ali MacRobie ◽  
...  
Keyword(s):  
Perioperative Care ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Consensus Guidelines ◽  
Intestinal Surgery
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