Pathophysiology of major surgery and the role of enhanced recovery pathways and the anesthesiologist to improve outcomes.
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Enhanced recovery pathways have been increasingly adopted into surgical specialties with the aim of reducing the stress response and improving the metabolic response to surgical insult. Enhanced recovery pathways encompass a large range of perioperative elements that together aim to restore a patient's gut function, mobility, function and well-being to preoperative levels as soon as feasible after major surgery. There is increasing evidence that rapid recovery and return to normal function reduces complications. This may not just have a benefit by reducing morbidity and mortality but also have an effect on long-term survival. There also may be additional benefits for patients with cancer.
Enhanced recovery pathway
Metabolic response to surgery
Minimally invasive surgery
Pathophysiology of surgery
Stress response to surgery
Minimally Invasive Surgical Procedures
Surgical Procedures, Operative
Published Version (Please cite this version)10.1016/j.anclin.2014.11.006
Publication InfoScott, MJ; & Miller, Timothy Ellis (2015). Pathophysiology of major surgery and the role of enhanced recovery pathways and the anesthesiologist to improve outcomes. Anesthesiol Clin, 33(1). pp. 79-91. 10.1016/j.anclin.2014.11.006. Retrieved from https://hdl.handle.net/10161/13961.
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Associate Professor of Anesthesiology
Clinical and research interests are Enhanced Recovery and Perioperative Medicine; with particular interests in fluid management, and perioperative optimization of the high-risk non-cardiac surgery patient.
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Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Thacker, Julie; Miller, Timothy; Feldheiser, A; Aziz, O; Baldini, G; Cox, BPBW; Fearon, KCH; ... (18 authors) (Acta anaesthesiologica Scandinavica, 2016-03)The present interdisciplinary consensus review proposes clinical considerations and recommendations for anaesthetic practice in patients undergoing gastrointestinal surgery with an Enhanced Recovery after Surgery (ERAS) ...
In reply: Fluid management issues in Enhanced Recovery After Surgery and Canadian Anesthesiologists’ Society standards Miller, Timothy; Roche, AM; Mythen, M (Canadian Journal of Anesthesia, 2015-08-23)