Abstract
The introduction of enhanced recovery after surgery was prompted by the increasing recognition that surgical stress caused by major surgery is a significant factor for postoperative morbidity and length of stay. As Kehlet points out in his 1997 paper, “the key pathogenic factor in postoperative morbidity, excluding failures of surgical and anesthetic techniques, is the surgical stress response with subsequent increased demands on organ function” (Kehlet, Br J Anaesth 78(5):606–617, 1997). This stress response manifests in a myriad of ways (pain, nausea, ileus, sleep disturbance, immobilization) that prevent timely recovery and discharge from hospital. The emphasis was made for a unifying, all encompassing team effort to prevent and treat these obstacles to recovery. This concept of multidisciplinary cooperation and well-defined patient care protocols has translated to the fast track protocols or enhanced recovery programs (ERP) that we have come to know. While this review focuses on colorectal surgery, the same principles are applicable across the spectrum of abdominal and thoracic procedures.
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Qi, Y., Monson, J.R.T. (2015). Why Add an ERP to a Laparoscopic Case: The Colorectal Experience. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_21
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DOI: https://doi.org/10.1007/978-3-319-20364-5_21
Publisher Name: Springer, Cham
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