Journal of Medical and Surgical Intensive Care Medicine 2018 , Vol 9, Issue 2
Current Perioperative Management Strategies for Enhanced Recovery After Surgery
Haldun Gündoğdu 1
1General Surgery Lecturer, Gastroenterology Surgery Specialist, Atatürk Training and Research Hospital, Ankara, Turkey DOI : 10.5152/dcbybd.2018.1408 Enhanced recovery after surgery is a multimodal program of multidisciplinary care designed to minimize post-operative organ dysfunction and to normalize the patient as soon as possible. This protocol forsees a radical change away from traditions and dogmas towards modern concepts in perioperative management of patients. The main philosophy of the ERAS protocol is reducing the metabolic stress caused by surgical trauma and at the same time supporting the gastrointestinal functions and mobilization without complication. The key elements of the ERAS pathways are aimed to address these issues and the interventions that facilitate early recovery covering all phases of the perioperative period starting from the outpatient clinic and ending at home. Several studies which compare ERAS programs with conventional perioperative care, have demonstrated that the ERAS programmes compared with traditional perioperative care is associated with earlier recovery and discharge after major operations. The purpose of this review is to evaluate current progresses in perioperative care in order to enhance postoperative recovery and review the protocols which use these items together. Keywords : ERAS, enhanced recovery after surgery