Enhanced Recovery After Surgery

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient's condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Auteur

Olle Ljungqvist, MD, PhD
Professor of Surgery, Senior Consultant Surgeon
Department of Surgery
Örebro University and Örebro University Hospital
Örebro, Sweden, 70185
olle.ljungqvist@ki.se

Nader K. Francis, MBChB, FRCS, PhD
Professor
Consultant Colorectal Surgeon
Department of Surgery
Yeovil District Hospital NHS Foundation Trust
Higher Kingston
Yeovil, Somerset, UK, BA21 4AT
nader.francis@ydh.nhs.uk

Richard D. Urman, MD, MBA, FASA
Associate Professor of Anesthesia
Department of Anesthesiology, Perioperative and Pain Medicine
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts, USA
urmanr@gmail.com

Contenu
Introduction: 1. Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care2. Physiology and Pathophysiology 3. ERAS outcomes; the evidence 4. Introduction to ERAS Society Guidelines
Preoperative Preparation:5. Preoperative Fasting and Carbohydrate Treatment6. Preoperative Education7. Preoperative Nutrition, Smoke and Alcohol Cessation, Anemia management, Other Medical Optimization, Prehabilitation8. Bowel Preparation: Always, Sometimes, Never?
Intraoperative Management:9. Multimodal Analgesia to Facilitate Recovery (medications)10. Regional Anesthesia Techniques11. Anesthetic Management and the Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery 12. Fluid Management13. Surgical techniques
Postoperative management14. Early oral nutrition and gut stimulation (dietetics)15. Early ambulation and physiotherapy16. Multimodal pain management17. Nursing for recovery
Prevention of Postoperative Complications: 18. Which outcomes are important in ERAS?19. Postoperative Ileus: Prevention and Treatment20. Surgical Site Infection Prevention21. Thromboprophylaxis22. Postoperative anemia management 23. Prevention of Intraoperative Hypothermia
ERAS after discharge24. Functional recovery at home and after discharge25. Recovery within cancer journey26. Readmission challenges and impacts within ERAS
Specialty-Specific Enhanced Recovery Programs27. Basics in ERAS28. Colorectal surgery 29. Esophageal Surgery30. Gastric Surgery31. Bariatric Surgery32. Urological Surgery33. Breast Plastic and Reconstructive Surgery34. Gynecologic Surgery35. Neurosurgery: Brain and Spine36. Orthopedic Surgery37. ENT Surgery38. Cardiac and Vascular Surgery39. Thoracic Surgery40. Ambulatory Surgery41. Emergency laparotomy42. Caesarian section
Administrative:43. Department-Wide Implementation (and barriers) of an Enhanced Recovery Pathway44. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program45. Enhanced Recovery Programs: Making the Business Case - economics46. ERAS Society and its affiliates around the world47. Challenges of implementation in the developing world48. Future Directions
Quality improvement of ERAS49. Measuring recovery50. Measuring compliance: audit and data collection51. Success and failure of ERAS: prediction models of outcomes