Enhanced Recovery after Surgery (ERAS) in Bariatric Surgery

Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach to perioperative care that improves postoperative recovery in major surgery, including bariatric surgery. ERAS protocols have been widely developed and implemented worldwide, confirming their safety and advantages in this patient population. This book aims to update the evidence on ERAS protocols in bariatric surgery.

Format: Hardback
Length: 345 pages
Publication date: 01 October 2021
Publisher: Nova Science Publishers Inc

Enhanced recovery after surgery (ERAS) programs represent a comprehensive and multidisciplinary approach to perioperative care for patients undergoing major surgery. These programs encompass a range of measures, including preoperative preparation, intraoperative interventions, and postoperative care, all based on the latest evidence from scientific literature (evidence-based medicine). The primary objective of ERAS is to enhance the postoperative recovery of patients, improving their overall well-being and reducing the length of hospital stay.

While ERAS protocols have been extensively developed in colorectal surgery, their success has led to the development of new protocols and guidelines in various other surgical fields, including abdominal and extra-abdominal areas. In recent years, ERAS has gained significant traction in bariatric surgery, with numerous implementations worldwide. These implementations have confirmed the safety and advantages of ERAS approaches, even in the context of morbidly obese patients.

The aim of this book is to provide a comprehensive update on ERAS protocols in bariatric surgery. It will delve into the different components and multidisciplinary approach of ERAS programs, highlighting their role in improving patient outcomes and reducing complications. By examining the evidence-based literature, the book aims to assist surgeons, anesthesiologists, nurses, and other healthcare professionals in implementing ERAS protocols effectively and optimizing patient care.

Preoperative Preparation:

Preoperative preparation is a crucial component of ERAS. It involves a thorough evaluation of the patient's medical history, physical examination, and laboratory tests to assess their overall health status. This information is used to develop an individualized preoperative plan, which may include nutritional optimization, medication management, and psychological support.

Intraoperative Interventions:

During the surgical procedure, ERAS protocols emphasize minimizing tissue trauma and promoting rapid recovery. This includes the use of minimally invasive techniques, such as laparoscopy or robotic surgery, to minimize incision size and reduce postoperative pain. ERAS also emphasizes the importance of maintaining adequate fluid and electrolyte balance, controlling blood pressure, and ensuring adequate oxygenation throughout the procedure.

Postoperative Care:

Postoperative care is another critical aspect of ERAS. It involves close monitoring of the patient's vital signs, pain management, and wound care. ERAS protocols also emphasize early mobilization, physical therapy, and nutritional support to help patients regain their strength and mobility as soon as possible.

Multidisciplinary Approach:

ERAS is a multidisciplinary approach that involves collaboration between surgeons, anesthesiologists, nurses, and other healthcare professionals. Each team member plays a vital role in ensuring the success of ERAS protocols. Communication, teamwork, and coordination are essential to ensure that all aspects of the patient's care are addressed and that the patient receives the best possible care.

Evidence-Based Medicine:

ERAS is grounded in evidence-based medicine, which emphasizes the use of scientific evidence to guide clinical decision-making. The evidence-based literature is reviewed to develop and refine ERAS protocols, ensuring that they are based on the latest scientific knowledge and best practices.

Conclusion:

Enhanced recovery after surgery (ERAS) programs represent a promising approach to perioperative care for patients undergoing major surgery. By incorporating preoperative preparation, intraoperative interventions, and postoperative care, ERAS aims to enhance the postoperative recovery of patients, improve their overall well-being, and reduce the length of hospital stay. The multidisciplinary approach of ERAS involves collaboration between surgeons, anesthesiologists, nurses, and other healthcare professionals, and is grounded in evidence-based medicine. With numerous implementations worldwide, ERAS has proven to be a safe and effective approach in bariatric surgery, even in the context of morbidly obese patients. This book aims to provide a comprehensive update on ERAS protocols in bariatric surgery, assisting healthcare professionals in implementing these protocols effectively and optimizing patient care.

Weight: 600g
ISBN-13: 9781536199765