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Anesthesiol Clin. 2019 Jun;37(2):225-238. doi: 10.1016/j.anclin.2019.01.007. Epub 2019 Mar 15.

Enhanced Recovery Programs in Outpatient Surgery.

Author information

1
Enhanced Recovery Programs (ERP), Department of Anesthesiology & Critical Care Medicine, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, M-301, New York, NY 10065, USA. Electronic address: afonsoa@mskcc.org.
2
Department of Anesthesiology & Critical Care, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
3
Department of Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
4
Department of Anesthesiology & Critical Care Medicine, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1133 York Avenue, Suite 312, New York, NY 10065, USA.

Abstract

Although enhanced recovery pathways were initially implemented in inpatients, their principles are relevant in the ambulatory setting. Opioid minimization and addressing pain and nausea through multimodal analgesia, regional anesthesia, and robust preoperative education programs are integral to the success of ambulatory enhanced recovery programs. Rather than measurements of length of stay as in traditional inpatient programs, the focus of enhanced recovery programs in ambulatory surgery should be on improved quality of recovery, pain management, and early ambulation.

KEYWORDS:

Ambulatory surgery; Enhanced recovery after surgery; Enhanced recovery programs; Multimodal analgesia; Opioid-sparing pain management; Peripheral nerve blocks; Postdischarge nausea and vomiting; Quality of recovery

PMID:
31047126
DOI:
10.1016/j.anclin.2019.01.007
[Indexed for MEDLINE]

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