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Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice.

Author information

1
Department of Anesthesiology and Intensive Care Medicine Campus Charité, Mitte and Campus Virchow-Klinikum Charité, University Medicine, Berlin, Germany.
2
St. Mark's Hospital, Harrow, Middlesex, UK.
3
Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada.
4
Department of Anesthesiology and Pain Therapy, University Hospital Maastricht (azM), Maastricht, The Netherlands.
5
University of Edinburgh, The Royal Infirmary, Clinical Surgery, Edinburgh, UK.
6
Department of Surgery, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada.
7
Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA.
8
St. Mark's Hospital/Imperial College, Harrow, Middlesex/London, UK.
9
Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
10
Gastrointestinal Surgery, National Institute for Health Research Nottingham Digestive Diseases Biomedical Research Unit, Nottingham University Hospitals and University of Nottingham, Queen's Medical Centre, Nottingham, UK.
11
Anestesiologa y Reanimacin, Hospital Clinico Lozano Blesa, Universidad de Zaragoza, Zaragoza, Spain.
12
Department of Anesthesia, McGill University Health Centre, Royal Victoria Hospital, Montreal, Quebec, Canada.
13
Royal Surrey County Hospital NHS Foundation Trust, University of Surrey, Surrey, UK.
14
Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
15
Department of Anaesthesiology, University Hospital of North Norway, Tromso, Norway.

Abstract

BACKGROUND:

The present interdisciplinary consensus review proposes clinical considerations and recommendations for anaesthetic practice in patients undergoing gastrointestinal surgery with an Enhanced Recovery after Surgery (ERAS) programme.

METHODS:

Studies were selected with particular attention being paid to meta-analyses, randomized controlled trials and large prospective cohort studies. For each item of the perioperative treatment pathway, available English-language literature was examined and reviewed. The group reached a consensus recommendation after critical appraisal of the literature.

RESULTS:

This consensus statement demonstrates that anaesthesiologists control several preoperative, intraoperative and postoperative ERAS elements. Further research is needed to verify the strength of these recommendations.

CONCLUSIONS:

Based on the evidence available for each element of perioperative care pathways, the Enhanced Recovery After Surgery (ERAS®) Society presents a comprehensive consensus review, clinical considerations and recommendations for anaesthesia care in patients undergoing gastrointestinal surgery within an ERAS programme. This unified protocol facilitates involvement of anaesthesiologists in the implementation of the ERAS programmes and allows for comparison between centres and it eventually might facilitate the design of multi-institutional prospective and adequately powered randomized trials.

PMID:
26514824
PMCID:
PMC5061107
DOI:
10.1111/aas.12651
[Indexed for MEDLINE]
Free PMC Article

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