Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles
The revolutionary concept of enhanced recovery after surgery (ERAS), recognized and proven in colonic surgery, soon caught on as an attractive proposition that translated into better and faster patient recovery after various types of surgery. As an evolving concept, it is being widely accepted, with...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | International Journal of Advanced Medical and Health Research |
| Subjects: | |
| Online Access: | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2020;volume=7;issue=2;spage=50;epage=60;aulast=Gurushankari |
| _version_ | 1818598213752455168 |
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| author | Balakrishnan Gurushankari Kanchan Bilgi Raja Kalayarasan Sathasivam Sureshkumar Pankaj Kundra Vikram Kate Ananthakrishnan Nilakantan |
| author_facet | Balakrishnan Gurushankari Kanchan Bilgi Raja Kalayarasan Sathasivam Sureshkumar Pankaj Kundra Vikram Kate Ananthakrishnan Nilakantan |
| author_sort | Balakrishnan Gurushankari |
| collection | DOAJ |
| description | The revolutionary concept of enhanced recovery after surgery (ERAS), recognized and proven in colonic surgery, soon caught on as an attractive proposition that translated into better and faster patient recovery after various types of surgery. As an evolving concept, it is being widely accepted, with various surgical specialties suitably adapting the guidelines for use in the perioperative setting. Identification and mitigation of risk factors in special groups of patients such as patients presenting for emergency surgery, those in the extremes of age and weight, and those with various comorbidities require additional care and investigations. The use of ERAS in emergency setting has been remarkably difficult to implement, owing to a short preoperative period, altered physiology, and unexpected postoperative outcomes. There is reluctance in the application of ERAS in emergency due to difficulty in implementing all its components, especially the preoperative components. The rapid advancements in technology and increased availability of point of care diagnostics, such as ultrasound and intraoperative electroencephalogram, and the increasing number of anesthesiologists getting trained in their usage are important factors that are positively influencing perioperative patient care in the last decade. This has led to significant developments in noninvasive and rapid methods of monitoring hemodynamics and postoperative care. This review aims to highlight the influence of newer perioperative practices that are already included or are likely to have positive impact when included in an ERAS program and provide comprehensive review on the application of ERAS in emergency setting and in various surgical specialties. |
| first_indexed | 2024-12-16T12:00:08Z |
| format | Article |
| id | doaj.art-9825496692bc4ba49c09a9f3bb083699 |
| institution | Directory Open Access Journal |
| issn | 2349-4220 2350-0298 |
| language | English |
| last_indexed | 2024-12-16T12:00:08Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Advanced Medical and Health Research |
| spelling | doaj.art-9825496692bc4ba49c09a9f3bb0836992022-12-21T22:32:28ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982020-01-0172506010.4103/ijamr.ijamr_251_20Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principlesBalakrishnan GurushankariKanchan BilgiRaja KalayarasanSathasivam SureshkumarPankaj KundraVikram KateAnanthakrishnan NilakantanThe revolutionary concept of enhanced recovery after surgery (ERAS), recognized and proven in colonic surgery, soon caught on as an attractive proposition that translated into better and faster patient recovery after various types of surgery. As an evolving concept, it is being widely accepted, with various surgical specialties suitably adapting the guidelines for use in the perioperative setting. Identification and mitigation of risk factors in special groups of patients such as patients presenting for emergency surgery, those in the extremes of age and weight, and those with various comorbidities require additional care and investigations. The use of ERAS in emergency setting has been remarkably difficult to implement, owing to a short preoperative period, altered physiology, and unexpected postoperative outcomes. There is reluctance in the application of ERAS in emergency due to difficulty in implementing all its components, especially the preoperative components. The rapid advancements in technology and increased availability of point of care diagnostics, such as ultrasound and intraoperative electroencephalogram, and the increasing number of anesthesiologists getting trained in their usage are important factors that are positively influencing perioperative patient care in the last decade. This has led to significant developments in noninvasive and rapid methods of monitoring hemodynamics and postoperative care. This review aims to highlight the influence of newer perioperative practices that are already included or are likely to have positive impact when included in an ERAS program and provide comprehensive review on the application of ERAS in emergency setting and in various surgical specialties.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2020;volume=7;issue=2;spage=50;epage=60;aulast=Gurushankariemergency enhanced recovery after surgeryfast-track surgerygoal-directed fluid therapymultimodal analgesiamultimodal prehabilitation |
| spellingShingle | Balakrishnan Gurushankari Kanchan Bilgi Raja Kalayarasan Sathasivam Sureshkumar Pankaj Kundra Vikram Kate Ananthakrishnan Nilakantan Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles International Journal of Advanced Medical and Health Research emergency enhanced recovery after surgery fast-track surgery goal-directed fluid therapy multimodal analgesia multimodal prehabilitation |
| title | Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles |
| title_full | Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles |
| title_fullStr | Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles |
| title_full_unstemmed | Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles |
| title_short | Emerging concepts in enhanced recovery after surgery: Potential functional adaptations to existing principles |
| title_sort | emerging concepts in enhanced recovery after surgery potential functional adaptations to existing principles |
| topic | emergency enhanced recovery after surgery fast-track surgery goal-directed fluid therapy multimodal analgesia multimodal prehabilitation |
| url | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2020;volume=7;issue=2;spage=50;epage=60;aulast=Gurushankari |
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