Abstract
The beginnings of the enhanced recovery after surgery (ERAS) program were first developed for patients in colorectal surgery, and after it was established as the standard of care in this surgical field, it began to be applied in many others surgical areas. This is multimodal, evidence-based approach program and includes simultaneous optimization of preoperative status of patients, adequate selection of surgical procedure and postoperative management. The aim of this program is to reduce complications, the length of hospital stay and to improve the patients outcome. Over the past decades, special attention was directed to the postoperative management in vascular surgery, especially after major vascular surgery because of the great risk of multiorgan failure, such as: respiratory failure, myocardial infarction, hemodynamic instability, coagulopathy, renal failure, neurological disorders, and intra-abdominal complications. Although a lot of effort was put into it, there is no unique acceptable program for ERAS in this surgical field, and there is still a need to point out the factors responsible for postoperative outcomes of these patients. So far, it is known that special attention should be paid to already existing diseases, type and the duration of the surgical intervention, hemodynamic and fluid management, nutrition, pain management, and early mobilization of patients.
Highlights
Enhanced recovery after surgery (ERAS) program or a “fast-track surgery” was first developed and successfully implemented in colorectal surgery [1], and was later reported in orthopedic [2, 3], cardiac [4], and vascular surgery [5, 6]
Preoperative assessment is as important as the intraoperative and postoperative period. It allows evaluation of risk and provides an opportunity to stabilize already existing disease and optimize organ dysfunction before surgery, as it is well known that postoperative organic dysfunction is undoubtfully associated with preoperative comorbidities. This period provides an opportunity for patient education, which refers to obtaining information about surgery itself, anticipated postoperative course, analgesia, and discharge
Percutaneous coronary intervention is recommended, while postoperative fibrinolysis is a relative contraindication [22]
Summary
The beginnings of the enhanced recovery after surgery (ERAS) program were first deve loped for patients in colorectal surgery, and after it was established as the standard of care in this surgical field, it began to be applied in many others surgical areas This is multimodal, evidencebased approach program and includes simultaneous optimization of preoperative status of patients, adequate selection of surgical procedure and post operative management. The aim of this program is to reduce complications, the length of hospital stay and to improve the patients outcome.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
