Perioperative Pain Management and Enhanced Outcomes


(Adapted from Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 2008; 248:189–198, with permission)




Perioperative Elements Contributing to Enhanced Recovery After Surgery (ERAS)



Image


(Adapted from Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005; 24:466–477, with permission)



Anesthetic Elements Contributing to Enhanced Recovery Program


Preoperative Period


• Patient education


• Preoperative risk assessment and optimization


• Smoking and alcohol cessation


• Minimizing preoperative fasting and dehydration


Intraoperative Period


• Antithrombotic prophylaxis


• Antibiotic prophylaxis


• Strategies to minimize the stress response to surgery



° Minimally invasive surgery


° Regional anesthesia techniques


° Intravenous (IV) local anesthetic


° IV β-blockers


° IV α2-agonist

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Jan 28, 2017 | Posted by in ANESTHESIA | Comments Off on Perioperative Pain Management and Enhanced Outcomes

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