Perioperative Pain Management and Enhanced Outcomes


(Adapted from Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 2008; 248:189–198, with permission)




Perioperative Elements Contributing to Enhanced Recovery After Surgery (ERAS)



Image


(Adapted from Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005; 24:466–477, with permission)



Anesthetic Elements Contributing to Enhanced Recovery Program


Preoperative Period


Patient education


Preoperative risk assessment and optimization


Smoking and alcohol cessation


Minimizing preoperative fasting and dehydration


Intraoperative Period


Antithrombotic prophylaxis


Antibiotic prophylaxis


Strategies to minimize the stress response to surgery



° Minimally invasive surgery


° Regional anesthesia techniques


° Intravenous (IV) local anesthetic


° IV β-blockers


° IV α2-agonist

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Jan 28, 2017 | Posted by in ANESTHESIA | Comments Off on Perioperative Pain Management and Enhanced Outcomes

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