Search results for: enhanced-recovery-after-surgery

Enhanced Recovery After Surgery

Author : Olle Ljungqvist
File Size : 72.42 MB
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This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Enhanced Recovery After Surgery Past Present and Future An Issue of Surgical Clinics E Book

Author : Daniel I. Chu
File Size : 40.53 MB
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This issue of Surgical Clinics of North America focuses on Enhanced Recovery After Surgery: Past, Present, and Future, and is edited by Dr. Daniel I. Chu. Articles will include: Overview of Enhanced Recovery After Surgery: The Evolution and Adoption of ERAS in North America; ERAS and Effects on Quality Metrics; ERAS and Effects on Patient-Reported Outcomes; ERAS: Economic Impact and Value; Pre-Op Preparations for ERAS: A Role for Prehabilitation; ERAS and Multimodal Strategies for Analgesia; ERAS and Intra-operative Fluid Strategies; ERAS Implementation: Strategies, Barriers and Facilitators; Nursing Perspectives on ERAS; ERAS and Reduction of Surgical Disparities; ERAS in Community Hospitals; ERAS: What's New in Colorectal; ERAS: Hepatobiliary; ERAS: Urology; ERAS: Gyn-Oncology; ERAS and Future Directions; and more!

Enhanced Recovery After Surgery

Author : Ryoji Fukushima
File Size : 80.70 MB
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This book provides up-to-date information and practical approaches to Enhanced Recovery after Surgery (ERAS) programs for digestive and / or cardiopulmonary surgery. ERAS programs following surgical interventions are now part of the standard of care for patients undergoing various operative procedures. These programs have been associated with reductions in complications, in length of hospital stay after surgery and in related costs, and have led to improved patient QOL. Enhanced Recovery after Surgery discusses a range of aspects of the program, from surgical procedure to perioperative management. Each chapter is written by experts in the field, including digestive, cardiopulmonary and pediatric surgeons. It is a valuable resource for surgeons, nurses and administrators interested in initiating an ERAS program.

Enhanced Recovery After Surgery ERAS Interventions and Outcome from Colorectal Surgery

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Enhanced Recovery After Surgery ERAS Programs for Patients Undergoing Colorectal Surgery

Author : Nancy L. Greer
File Size : 67.76 MB
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Enhanced recovery after surgery (ERAS), also referred to as an enhanced recovery program, fast-track rehabilitation, multimodal management, or similar descriptors, is a multidisciplinary approach to perioperative care. A protocol of components related to preadmission, preoperative, intraoperative, and postoperative care is implemented with the goal of improving patient recovery, facilitating earlier discharge from the hospital, and potentially reducing health care costs without increasing complications or hospital readmissions. The protocol components may contribute to minimizing, and/or improving the response to, physiological stress associated with surgery. Although guidelines for ERAS related to colorectal surgery exist, variation in the number and definition of protocol components contributes to difficulties in determining effectiveness. Little is known about implementation barriers and facilitators as well as components (or combinations of components) key for improved clinical outcomes. In addition, protocol compliance, when reported, may be measured by percentage of elements applied or completed without standardization across elements (timing, regimens, doses, etc). Preliminary literature searches conducted for topic refinement found several systematic reviews on enhanced recovery for colorectal surgery. However, none reported on subgroups based on surgical approach (open or laparoscopic surgery) or colorectal condition. While several noted the enhanced recovery protocol components from the included studies, the standard care protocols were not documented. None commented on barriers or facilitators to implementation of an enhanced recovery program. The defining components of an enhanced recovery program for colorectal surgery have been revised over time and new trials have been published since the search dates of the existing reviews. We provide an updated review of randomized controlled trials (RCTs) and controlled clinical trials (CCTs) looking at comparative effectiveness and harms overall and by type of surgery, colorectal condition, and fidelity to an enhanced recovery protocol. We also review barriers and facilitators to implementation and provide a contextual discussion of compliance and outcomes.

ERAS Enhanced Recovery After Surgery in Colorectal Surgery

Author : Raúl Sánchez-Jiménez
File Size : 43.82 MB
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ERAS (Enhanced Recovery after Surgery) in Colorectal Surgery.

Enhanced Recovery After Surgery ERAS Care After Elective Colorectal Surgery In Elderly Patients

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Goal of Study: ERAS programs have proven to reduce morbidity and hospital length of stay (LOS) in colorectal surgery. However, the feasibility of these programs in elderly patients has been questioned. The aim of this study is to assess the implementation of an ERAS program in elderly patients based on LOS,readmission rates and postoperative Clavien-Dindo complications.Materials: a total of 123 patients were included. We compared the first 57 consecutive patients that participated in the ERAS group (from May 2016 to January 2017) with 66 consecutive patients (preERAS group) that were operated prior to implementation of the program (from January to December 2015). Theinclusion criteria were: elective colorectal surgery, u226570 years old, appropiate cognitive state and ASA I-II-III. The exclusion criteria were: urgent surgery and existence of higher concomitant surgical processes. All variable data were descriptively analyzed via SPSS version 20.0. The results are presented as number of patients (%) (ERAS group versus preERAS group) or meanu00b1standard deviation. Chi-square, Fisher exact test and t Student test were applied as appropiate. Results were considered statistically significant when p valueu20390.05.Results: the two groups were homogeneous. No statistically significant differences were found in terms of age, sex, ASA, diagnosis, TNM stage in colorectal cancer, preoperative hemoglobin, length of surgery...The average compliance with the ERAS protocol was 74.7%. The ERAS program decreased LOS (10.1u00b13.9 in the ERAS group versus 12.2u00b14.6, p 0.009 in the preERAS group), but not the 30-days readmission rates (5 (8.8%) in the ERAS group versus 6 (9.1%) in the preERAS group, p 0.951) or the number of postoperative complications (21 (36.8%) vs 29 (43.9%), p 0.42) or the rate or reinterventions (4(7%) vs 8 (12.1%), p 0.341). ERAS improved secondary variables in a statistically significant way: more laparoscopic surgery (20 (35.1%) vs 10 (15.2%), p 0.010); lower admnistration of fluid therapy (cristalloids and colloids) during the intraoperative period (p

Enhanced Recovery After Surgery Protocol ERAS For Elective Colorectal Surgery In The University Hospital Of Guadalajara Spain

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Background and Goal of Study: The use of ERAS pathways has proven to reduce care time after colorectal surgery. The aim of this study is to evaluate the effectiveness of an ERAS program based on hospital length of stay (LOS), readmission rates and postoperative Clavien-Dindo complications.Materials and Methods:a total of 256 patients were included. We compared the first 121 consecutive patients that participated in the ERAS group (from May 2016 to January 2017) with 135 consecutive patiens that were operated prior to the implementation of the ERAS (from January to December 2015). The inclusion criteria were: elective colorectal surgery, over 18 years old, appropiate cognitive state and ASA I-II-III. The exclusion criteria were: urgent surgery and existence of higher concomitant surgical processes. All variable data were descriptively analyzed via SPSS version 20.0. The results are presented as numberof patients (%) or meanu00b1standard deviation. Chi-square and Fisher exact test were applied for the study of categorical varibles and the Student t test was used for normally distributed quantitative variables. Results were considered statistically significant when p value

Advances in Enhanced Recovery After Surgery ERAS

Author : Richard D. Urman
File Size : 20.60 MB
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Enhanced Recovery After Surgery ERAS in Bariatric Surgery

Author : Jaime Ruiz-Tovar
File Size : 82.84 MB
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"Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach in the perioperative care of the patient undergoing major surgery, including pre, intra and postoperative measures, based on the actual evidence published in literature (evidence-based medicine), to improve the postoperative recovery of the patient. ERAS protocols have been widely developed in colorectal surgery, but, given their excellent results, new protocols and guidelines have been developed in other surgical fields, including abdominal and extra-abdominal areas. In the last decade, several ERAS protocols have been implemented worldwide in bariatric surgery, confirming their safety and advantages of ERAS approaches, even on morbidly obese patients. The aim of this book is to update the actual evidence about ERAS protocols on bariatric surgery, analyzing separately the different components and multidisciplinary approach of the ERAS programs"--