Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes

ISBN-13: 9783030334420 / Angielski / Twarda / 2020 / 654 str.

Olle Ljungqvist; Nader Francis; Richard D. Urman

Spis treści

Introduction: 

1. Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care

2. Physiology and Pathophysiology 

3. ERAS outcomes; the evidence 

4. Introduction to ERAS Society Guidelines

Preoperative Preparation:

5. Preoperative Fasting and Carbohydrate Treatment

6. Preoperative Education

7. Preoperative Nutrition, Smoke and Alcohol Cessation, Anemia management, Other Medical Optimization, Prehabilitation

8. Bowel Preparation: Always, Sometimes, Never?

Intraoperative Management:

9. Multimodal Analgesia to Facilitate Recovery (medications)

10. Regional Anesthesia Techniques

11. Anesthetic Management and the Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery 

12. Fluid Management

13. Surgical techniques

Postoperative management

14. Early oral nutrition and gut stimulation (dietetics)

15. Early ambulation and physiotherapy

16. Multimodal pain management

17. Nursing for recovery

Prevention of Postoperative Complications: 

18. Which outcomes are important in ERAS?

19. Postoperative Ileus: Prevention and Treatment

20. Surgical Site Infection Prevention

21. Thromboprophylaxis

22. Postoperative anemia management 

23. Prevention of Intraoperative Hypothermia

ERAS after discharge

24. Functional recovery at home and after discharge

25. Recovery within cancer journey

26. Readmission challenges and impacts within ERAS

Specialty-Specific Enhanced Recovery Programs

27. Basics in ERAS

28. Colorectal surgery 

29. Esophageal Surgery

30. Gastric Surgery

31. Bariatric Surgery

32. Urological Surgery

33. Breast Plastic and Reconstructive Surgery

34. Gynecologic Surgery

35. Neurosurgery: Brain and Spine

36. Orthopedic Surgery

37. ENT Surgery

38. Cardiac and Vascular Surgery

39. Thoracic Surgery

40. Ambulatory Surgery

41. Emergency laparotomy

42. Caesarian section

Administrative:

43. Department-Wide Implementation (and barriers) of an Enhanced Recovery Pathway

44. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program

45. Enhanced Recovery Programs: Making the Business Case - economics

46. ERAS Society and its affiliates around the world

47. Challenges of implementation in the developing world

48. Future Directions

Quality improvement of ERAS

49. Measuring recovery

50. Measuring compliance: audit and data collection

51. Success and failure of ERAS: prediction models of outcomes 

O autorze

Olle Ljungqvist, MD, PhD

Professor of Surgery, Senior Consultant Surgeon

Department of Surgery

Örebro University and Örebro University Hospital

Örebro, Sweden, 70185

olle.ljungqvist@ki.se

 

Nader K. Francis, MBChB, FRCS, PhD

Professor

Consultant Colorectal Surgeon

Department of Surgery

Yeovil District Hospital NHS Foundation Trust

Higher Kingston

Yeovil, Somerset, UK, BA21 4AT

nader.francis@ydh.nhs.uk

 

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

urmanr@gmail.com

Blurb

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.