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Postoperative Management: Pain and Anesthetic, Fluids and Diet

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The ASCRS Textbook of Colon and Rectal Surgery

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Abstract

Many of the major advancements and changes in the care and survival of the surgical patient have occurred in the postoperative period. This is frequently recognized in regard to critical care, but has been just as remarkable in the non–intensive care unit patient. Significant changes in reimbursement and patient population patterns have either driven, or allowed for, better survival, less morbidity, earlier discharge, and more ambulatory procedures. The major changes have been in the areas of postoperative feeding, activity, pain control, and ulcer and deep venous thrombosis (DVT) prophylaxis. In an attempt to incorporate this knowledge and in conjunction with physician extenders such as nurse practitioners and physician assistants, patient care pathways are being increasingly instituted and validated. The focus of this chapter will be on the non–intensive care unit inpatient.

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Authors
  1. Tracey D. Arnell
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  2. Robert W. Beart Jr.
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Editor information

Editors and Affiliations

  1. Professor of Surgery, Mayo Clinic College of Medicine, Chairman, Division of Colon and Rectal Surgery, Mayo Clinic Foundation, Rochester, MN, USA

    Bruce G. Wolff MD, FASCRS (Senior Editors) (Senior Editors)

  2. Professor of Surgery, Chief, Section of Colorectal Surgery, Washington University School of Medicine, St. Louis, MO, USA

    James W. Fleshman MD, FASCRS (Senior Editors) (Senior Editors)

  3. Chairman, Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, LA, USA

    David E. Beck MD, FASCRS (Senior Editors) (Senior Editors)

  4. Professor of Surgery, Mayo Clinic College of Medicine, Consultant, Colon and Rectal Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, USA

    John H. Pemberton MD, FASCRS (Senior Editors) (Senior Editors)

  5. Chief of Staff, Cleveland Clinic Florida, Weston, FL, USA

    Steven D. Wexner MD, FASCRS (Senior Editors) (Senior Editors)

  6. Victor W. Fazio Chair of Colorectal Surgery, Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    James M. Church BSc, MBChB, MMed Sci, FASCRS (Associate Editors) (Associate Editors)

  7. Professor of Surgery, Chief, Section of Colon and Rectal Surgery, Department of Surgery, University of California, San Francisco, San Francisco, CA, USA

    Julio Garcia-Aguilar MD, PhD, FASCRS (Associate Editors) (Associate Editors)

  8. Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA, USA

    Patricia L. Roberts MD, FASCRS (Associate Editors) (Associate Editors)

  9. Professor of Surgery, Head, Section of Colon and Rectal Surgery, Rush University Medical Center, Chicago, IL, USA

    Theodore J. Saclarides MD, FASCRS (Associate Editors) (Associate Editors)

  10. Division of Colon and Rectal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Michael J. Stamos MD, FASCRS (Associate Editors) (Associate Editors)

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Arnell, T.D., Beart, R.W. (2007). Postoperative Management: Pain and Anesthetic, Fluids and Diet. In: Wolff, B.G., et al. The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-36374-5_9

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  • DOI: https://doi.org/10.1007/978-0-387-36374-5_9

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