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Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice.

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Date
2016-03
Authors
Feldheiser, A
Aziz, O
Baldini, G
Cox, BPBW
Fearon, KCH
Feldman, LS
Gan, TJ
Kennedy, RH
Ljungqvist, O
Lobo, DN
Miller, T
Radtke, FF
Ruiz Garces, T
Schricker, T
Scott, MJ
Thacker, JK
Ytrebø, LM
Carli, F
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(18 total)
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Abstract
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) programme.Studies were selected with particular attention being paid to meta-analyses, randomized controlled trials and large prospective cohort studies. For each item of the perioperative treatment pathway, available English-language literature was examined and reviewed. The group reached a consensus recommendation after critical appraisal of the literature.This consensus statement demonstrates that anaesthesiologists control several preoperative, intraoperative and postoperative ERAS elements. Further research is needed to verify the strength of these recommendations.Based on the evidence available for each element of perioperative care pathways, the Enhanced Recovery After Surgery (ERAS®) Society presents a comprehensive consensus review, clinical considerations and recommendations for anaesthesia care in patients undergoing gastrointestinal surgery within an ERAS programme. This unified protocol facilitates involvement of anaesthesiologists in the implementation of the ERAS programmes and allows for comparison between centres and it eventually might facilitate the design of multi-institutional prospective and adequately powered randomized trials.
Type
Journal article
Subject
Humans
Intraoperative Complications
Postoperative Nausea and Vomiting
Monitoring, Physiologic
Anesthesia
Digestive System Surgical Procedures
Consensus
Recovery of Function
Acute Kidney Injury
Permalink
https://hdl.handle.net/10161/17254
Published Version (Please cite this version)
10.1111/aas.12651
Publication Info
Feldheiser, A; Aziz, O; Baldini, G; Cox, BPBW; Fearon, KCH; Feldman, LS; ... Carli, F (2016). Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta anaesthesiologica Scandinavica, 60(3). pp. 289-334. 10.1111/aas.12651. Retrieved from https://hdl.handle.net/10161/17254.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Miller

Timothy Ellis Miller

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.
Thacker

Julie K. Marosky Thacker

Associate Professor of Surgery
Alphabetical list of authors with Scholars@Duke profiles.
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