Abstract
Abstract. Introduction. The successful application of the ERAS (Enhanced Recovery After Surgery) protocol in elective surgery stimulates many researches to think about implementation in emergency surgery for the early recovery of patients undergoing emergency laparotomy. Aim. Analysis of scientific medical literature on the use of the ERAS protocol (Enhanced Recovery After Surgery) in patients undergoing emergency surgery. Material and methods. A review and analysis of current scientific data about the use of the ERAS protocol in patients with homeostasis disorders in need of emergency surgical inter- vention in the PubMed and Google Scholar search databases was carried out. Results and discussion. Publication about the using of ERAS protocol in emergency surgical pathology is aimed at patients with a stable general condition. The complexity of applying the concept of recovery of patients after emergency surgery lies in the fact that the doctors are faced with a patient with disturbed homeostasis, which arose as a result of a catastrophe in the abdominal cavity. Without the possibility of preop- erative preparation due to the urgency of the surgical intervention, the anesthesiologist is not able adhere to the concept in the preoperative period. Sepsis, septic shock and the severity of the patient conditions, intoxication, hypovolemia, comorbidity, the inability to use mini-invasive surgery limits the possibility of using the ERAS concept in emergency surgical care. Conclusion. There is a need to introduce adapted ERAS protocols in emergency surgery, because such protocols would provide positive and promising results in the treatment of this category of patients.
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