Enhanced Recovery After Emergency Surgery: Utopia or Reality?

Cir Esp (Engl Ed). 2021 Apr;99(4):258-266. doi: 10.1016/j.ciresp.2020.04.017. Epub 2020 Jun 10.
[Article in English, Spanish]

Abstract

Enhanced Recovery After Surgery (ERAS) constitutes the application of a series of perioperative measures based on the evidence, in order to achieve a better recovery of the patient and a decrease of the complications and the mortality. These ERAS programs initially proved their advantages in the field of colorectal surgery being progressively adopted by other surgical areas within the general surgery and other surgical specialties. The main excluding factor for the application of such programs has been the urgent clinical presentation, which has caused that despite the large volume of existing literature on ERAS in elective surgery, there are few studies that have investigated the effectiveness of these programs in surgical patients in emergencies. The aim of this article is to show ERAS measures currently available according to the existing evidence for emergency surgery.

Keywords: Acute apendicitis; Acute cholecystitis; Apendicitis aguda; Cirugía urgente; Colecistitis aguda; Colectomía urgente; Emergency colectomy; Emergency surgery; Enhanced recovery after surgery; Perforated peptic ulcer; Rehabilitación multimodal; Úlcera péptica perforada.