Enhanced recovery programme in colorectal surgery: Does one size fit all?
| Autor: | Christopher J Payne, Alison Lyon, Graham MacKay |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Time Factors Colon Perioperative Care Fight-or-flight response Enhanced recovery medicine Humans Intensive care medicine Laparoscopy Enhanced recovery after surgery medicine.diagnostic_test business.industry Gastroenterology Rectum General Medicine Recovery of Function Colorectal surgery Surgery Editorial Treatment Outcome Perioperative care Anesthesia Recovery Period Practice Guidelines as Topic Fluid Therapy Guideline Adherence Fast track Analgesia business |
| Popis: | Enhanced recovery after surgery (ERAS) employs a multimodal perioperative care pathway with the aim of attenuating the stress response to surgery and accelerating recovery. It has been difficult to determine the relative importance of some of the individual components of these pathways such as epidural analgesia and laparoscopic colorectal surgery. Some argue that only a rigid adherence to the published ERAS protocol can achieve the proposed benefits of fast-track surgery. In this article, we explore some of the areas where the evidence base may be changing and ask whether a more flexible and individualised approach should be considered. |
| Databáze: | OpenAIRE |
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