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Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1 : pathophysiological considerations

Scott, M. J. (författare)
Royal Surrey County Hospital, NHS Foundation Trust, University of Surrey, Guildford, United Kingdom
Baldini, G. (författare)
Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal QC, Canada
Fearon, K. C. H. (författare)
Royal Infirmary Clinical Surgery, University of Edinburgh, Edinburgh, United Kingdom
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Feldheiser, A. (författare)
Department of Anesthesiology, Intensive Care Medicine Campus Charite, Mitte and Campus Virchow-Klinikum Charite, University Medicine, Berlin, Germany
Feldman, L. S. (författare)
Department of Surgery, McGill University Health Centre, Montreal General Hospital, Montreal QC, Canada
Gan, T. J. (författare)
Department of Anesthesiology, Duke University Medical Center, Durham NY, United States; Department of Anesthesiology, Stony Brook University, Stony Brook NY, United States
Ljungqvist, Olle, 1954- (författare)
Karolinska Institutet,Örebro universitet,Institutionen för läkarutbildning
Lobo, D. N. (författare)
Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research, Biomedical Research Unit, Queen's Medical Centre, Nottingham University Hospitals, Nottingham, United Kingdom
Rockall, T. A. (författare)
Royal Surrey County Hospital, NHS Foundation Trust, University of Surrey, Guildford, United Kingdom
Schricker, T. (författare)
Department of Anesthesia, McGill University Health Centre, Royal Victoria Hospital, Montreal QC, Canada
Carli, F. (författare)
Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal QC, Canada
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 (creator_code:org_t)
2015-09-08
2015
Engelska.
Ingår i: Acta Anaesthesiologica Scandinavica. - : Wiley-Blackwell. - 0001-5172 .- 1399-6576. ; 59:10, s. 1212-1231
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https://urn.kb.se/re...
https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
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  • Background: The present article has been written to convey concepts of anaesthetic care within the context of an Enhanced Recovery After Surgery (ERAS) programme, thus aligning the practice of anaesthesia with the care delivered by the surgical team before, during and after surgery.Methods: The physiological principles supporting the implementation of the ERAS programmes in patients undergoing major abdominal procedures are reviewed using an updated literature search and discussed by a multidisciplinary group composed of anaesthesiologists and surgeons with the aim to improve perioperative care.Results: The pathophysiology of some key perioperative elements disturbing the homoeostatic mechanisms such as insulin resistance, ileus and pain is here discussed.Conclusions: Evidence-based strategies aimed at controlling the disruption of homoeostasis need to be evaluated in the context of ERAS programmes. Anaesthesiologists could, therefore, play a crucial role in facilitating the recovery process.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Nyckelord

Anestesiologi
Anaesthesiology

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