Application of Enhanced Recovery after Surgery in Gastrointestinal Surgery based on Multidisciplinary Team

Dan Liu

doi:10.18483/ijsci.1920

Abstract

Chinese gastrointestinal surgeons are building up our own high level evidence in evidence-based medicine, With tremendous clinical trials carrying out in gastrointestinal cancers. Besides, Standardized procedure of diagnosis and treatment should be promoted. More personalized schemes are needed. The model of multidisciplinary team can be more widely and deeply applied. In order to further optimize the surgical pathways and promote the clinical application of ERAS in surgery, it is important to raise awareness of the ERAS concept, advocate multi-disciplinary cooperation model, including surgery, anesthesiology, nursing, clinical nutrition, etc. to improve the application of ERAS in gastrointestinal surgery, promote medical and health management performance. And the concept of enhanced recovery after surgery should be more operable. To keep pace with the times, the gastrointestinal surgeons have to seek for innovative technology and new ideas.

Highlights

Enhanced recovery after surgery (ERAS) is a multidisciplinary protocol of care delivered to patients with the aim of maintaining normal physiology and thereby facilitating postoperative recovery[1]
1.1.3 Gastrointestinal preparation Studies have shown that traditional methods do not reduce the incidence of postoperative complications, but can make intestinal wall edema and brittleness prone to bleeding
It has been agreed that there is no need to clean the intestine before gastrointestinal surgery, and less recommendation of oral osmotic laxatives and clean enema, which helps to maintain water and electrolyte acid-base balance[4]

Summary

Introduction

Enhanced recovery after surgery (ERAS) is a multidisciplinary protocol of care delivered to patients with the aim of maintaining normal physiology and thereby facilitating postoperative recovery[1]. The main contents of ERAS perioperative management include: patients education, optimization of anesthetic prescription, reduction of operative stress, control of nausea and vomiting and postoperative intestinal paralysis, management of multi-mode analgesia, management of catheter, reasonable nutritional support, and standards and planning of discharge[1].

Results

Conclusion