Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice

A Feldheiser, O Aziz, G Baldini, B P B W Cox, K C H Fearon, L S Feldman, T J Gan, R H Kennedy, O Ljungqvist, D N Lobo, T Miller, F F Radtke, T Ruiz Garces, T Schricker, M J Scott, J K Thacker, L M Ytrebø, F Carli

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    BACKGROUND: The present interdisciplinary consensus review proposes clinical considerations and recommendations for anaesthetic practice in patients undergoing gastrointestinal surgery with an Enhanced Recovery after Surgery (ERAS) programme.

    METHODS: Studies were selected with particular attention being paid to meta-analyses, randomized controlled trials and large prospective cohort studies. For each item of the perioperative treatment pathway, available English-language literature was examined and reviewed. The group reached a consensus recommendation after critical appraisal of the literature.

    RESULTS: This consensus statement demonstrates that anaesthesiologists control several preoperative, intraoperative and postoperative ERAS elements. Further research is needed to verify the strength of these recommendations.

    CONCLUSIONS: Based on the evidence available for each element of perioperative care pathways, the Enhanced Recovery After Surgery (ERAS®) Society presents a comprehensive consensus review, clinical considerations and recommendations for anaesthesia care in patients undergoing gastrointestinal surgery within an ERAS programme. This unified protocol facilitates involvement of anaesthesiologists in the implementation of the ERAS programmes and allows for comparison between centres and it eventually might facilitate the design of multi-institutional prospective and adequately powered randomized trials.

    Original languageEnglish
    Pages (from-to)289-334
    Number of pages46
    JournalActa Anaesthesiologica Scandinavica
    Volume60
    Issue number3
    Early online date30 Oct 2015
    DOIs
    Publication statusPublished - Mar 2016

    Keywords

    • Acute Kidney Injury/etiology
    • Anesthesia
    • Consensus
    • Digestive System Surgical Procedures/adverse effects
    • Humans
    • Intraoperative Complications/prevention & control
    • Monitoring, Physiologic
    • Postoperative Nausea and Vomiting/prevention & control
    • Recovery of Function

    Fingerprint

    Dive into the research topics of 'Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice'. Together they form a unique fingerprint.

    Cite this