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Enhanced Recovery After Surgery: ERAS

Chapter

Abstract

Enhanced recovery after surgery (ERAS®) pathways involve a series of perioperative evidence-based interventions that were developed for elective colorectal surgery. The adoption of ERAS pathways has resulted in improved outcome in terms of reduced morbidity, faster recovery, and reduced length of hospital stay in dedicated centers. Although most evidence for the use of several of the individual ERAS elements have been established within colorectal surgery, recent ERAS guidelines have been published for anesthesia practice, cystectomy for bladder cancer, gynecology, bariatric surgery, gastrectomy, and pancreaticoduodenectomy. In the area of hepatic surgery, the same is expected within the next year. We provide an overview of perioperative ERAS care for colorectal surgery, pelvic procedures, and upper gastrointestinal surgery, based on currently available best evidence.

Keywords

Surgery Enhanced recovery Perioperative care Fast track Clinical outcomes 

Abbreviations

CR

Colorectal

EDA

Epidural anesthesia

ERAS

Enhanced recovery after surgery

GI

Gastrointestinal

GNP

Gross national product

PCA

Patient-controlled analgesia

PD

Pancreaticoduodenectomy

PONV

Postoperative nausea and vomiting

QoL

Quality of life

UGI

Upper gastrointestinal

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of SurgeryErsta HospitalStockholmSweden
  2. 2.Department of Surgery, Faculty of Medicine and HealthÖrebro UniversityÖrebroSweden

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