Enhanced Recovery After Surgery: Applicability and Results for Abdominal Surgery and Impediments for Universal Usage
Published on Jan 1, 2018
· DOI :10.1007/978-981-13-0161-2_7
Surgery is a cause of stress, the intensity of which depends on the procedure. Despite a better understanding of the sequence of events leading to the physiological stress response, there has not been any major change in the perioperative care of patients. Perioperative care is often based on the age old so-called inviolable principles . Elements of perioperative care such as prolonged use of drains, forced bed rest, graduated diets, etc. were deemed essential and were taught to successive generations of surgeons as the standard of care. However, in the light of evolving evidence, many of these traditional principles were not found to be evidence based, and some of them may have been detrimental to the patient’s recovery [2–5]. This has led to the need for a judicious evidence-based approach for accelerating the patients’ recovery. The field of perioperative care has witnessed a revolutionary change in the form of enhanced recovery after surgery (ERAS) pathways or ‘fast-track’ protocols, which primarily aim at sustainable improvements in patient care, both in terms of speed of recovery and more importantly quality.