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Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice.
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 articleSubject
HumansIntraoperative Complications
Postoperative Nausea and Vomiting
Monitoring, Physiologic
Anesthesia
Digestive System Surgical Procedures
Consensus
Recovery of Function
Acute Kidney Injury
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https://hdl.handle.net/10161/17254Published Version (Please cite this version)
10.1111/aas.12651Publication 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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Show full item recordScholars@Duke
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.
Julie K. Marosky Thacker
Associate Professor of Surgery
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