This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations.
Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge.
Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.
Table of Content
I. Introduction.- 1. Enhanced Recovery After Surgery: A Paradigm Shift in Perioperative Care.- 2. Physiology and Pathophysiology of ERAS.- 3. Guidelines for Guidelines.- II. Preoperative Preparation.- 4. Preoperative Fasting and Carbohydrate Treatment.- 5. Preoperative Patient Education.- 6. Perioperative Optimization of Patient Nutritional Status.- 7. Anemia and Blood Management.- 8. Perioperative Smoking and Alcohol Cessation.- 9. Preoperative Medical Optimization.- 10. Prehabilitation.- 11. Cognitive Behavior Counseling – Preoperative Preparation in ERAS.- 12. Bowel Preparation: Always, Sometimes, Never? .- 13. Pharmacogenomics in Perioperative Care.- III. Intraoperative Management.- 14. Anesthetic Management and the Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery.- 15. Analgesia During Surgery (Medications).- Chapter 16. Regional Anesthesia Techniques for Abdominal Operations.- Chapter 17. Prevention of Intraoperative Hypothermia.- Chapter 18. Perioperative Intravenous Fluid Therapy in ERAS Pathways.- Chapter 19. ERAS and Minimally Invasive Surgical Techniques.- Chapter 20. Tubes and Drains: Current Updates on Evidence on Their Role Within Recovery.- IV. Postoperative Management.- Chapter 21. Management of Postoperative Nausea and Vomiting (PONV) .- Chapter 22. Early Oral Nutrition.- 23. Early Ambulation and Physiotherapy After Surgery.- 24. Postoperative Multimodal Pain Management.- 25. Nursing Considerations During Patient Recovery.- V. Prevention of Postoperative Complications.- 26. Long-Term Outcomes Related to ERAS.- 27. Postoperative Ileus: Prevention and Treatment.- 28. Antibiotic Prophylaxis and Surgical Site Infection Prevention.- 29. Thromboprophylaxis.- VI. ERAS After Discharge.- 30. Functional Recovery at Home and After Discharge.- 31. Recovery Within the Cancer Journey.- 32. Readmission Challenges and Impacts Within ERAS.- 33. An Example of a Patient’s Experience in ERAS.- VII. Safety and Quality Improvementin ERAS.- Measuring Outcomes in ERAS.- 35. Measurement of Recovery Within ERAS.- 36. Measuring Compliance: Audit and Data Collection.- 37. Success and Failure of ERAS: Prediction Models of Outcomes.- 38. Research Methods in Enhanced Recovery After Surgery.- 39. Toward a Learning System for ERAS: Embedding Implementation and Learning Evaluation.- VIII. Specialty-Specific Enhanced Recovery Programs.- 40. ERAS in Colorectal Surgery.- 41. Enhanced Recovery After Surgery: Recommendations for Esophagectomy.- 42. Enhanced Recovery After Gastrectomy.- 43. Bariatric Surgery.- 44. ERAS for Major Urological Procedures: Evidence Synthesis and Recommendations.- 45. ERAS for Breast Reconstruction.- 46. Gynecologic/Oncology Surgery.- 47. Enhanced Recovery After Surgery: Cesarean Delivery.- 48. ERAS in Spine Surgery.- 49. Orthopedic Surgery in Enhanced Recovery After Surgery.- 50. ERAS in Otolaryngology – Head and Neck Surgery.- 51. Cardiac Surgery ERAS.- 52. Vascular Surgery and ERAS.- 53. Thoracic Surgery.- 54. Enhanced Recovery Program in the Ambulatory Surgery Setting.- 55. Enhanced Recovery After Surgery: Emergency Laparotomy.- 56. Liver Surgery.- 57. Pancreatic Surgery.- 58. Pediatric Enhanced Recovery After Surgery.- IX. Administrative.- 59. Department-wide Implementation of an Enhanced Recovery Pathway: Barriers and Facilitators.- 60. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program.- 61. Enhanced Recovery After Surgery – Making the Business Case: Economics – The Alberta Experience.- 62. ERAS® Society and Latin American.- 63. ERAS® Society and Asia.- 64. ERAS for Low- and Middle-Income Countries.- 65. ERAS Position in the Global Surgical Community.
About the author
Olle Ljungqvist, MD, Ph D
Professor of Surgery, Senior Consultant Surgeon
Department of Surgery
Örebro University and Örebro University Hospital
Örebro, Sweden, 70185
[email protected]
Nader K. Francis, MBCh B, FRCS, Ph D
Professor
Consultant Colorectal Surgeon
Department of Surgery
Yeovil District Hospital NHS Foundation Trust
Higher Kingston
Yeovil, Somerset, UK, BA21 4AT
[email protected]
Richard D. Urman, MD, MBA, FASA
Associate Professor of Anesthesia
Department of Anesthesiology, Perioperative and Pain Medicine
Harvard Medical School
Brigham and Women’s Hospital
Boston, Massachusetts, USA
[email protected]
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