Enhanced Recovery Before Surgery: A Guide to Preoperative Optimization

Preoperative Optimization of the Chronic Pain Patient: Enhanced Recovery Before Surgery

by Heath B. McAnally

5 out of 5

Language	:	English
File size	:	4411 KB
Text-to-Speech	:	Enabled
Screen Reader	:	Supported
Enhanced typesetting	:	Enabled
Print length	:	280 pages
Lending	:	Enabled
X-Ray for textbooks	:	Enabled

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Surgery is a major stressor for the human body, and it can lead to a number of complications, including infection, bleeding, and delayed recovery. Enhanced Recovery Before Surgery (ERBS) is an evidence-based approach to surgical care that aims to reduce these complications, improve patient outcomes, and accelerate recovery.

ERBS is based on the principle that optimizing the patient's condition before surgery can lead to better outcomes. This includes addressing nutritional deficiencies, improving cardiovascular health, and managing chronic conditions.

Benefits of ERBS

ERBS has been shown to provide a number of benefits, including:

• Reduced complications
• Improved patient outcomes
• Accelerated recovery
• Shorter hospital stays
• Lower costs

Implementation of ERBS

ERBS is implemented through a number of strategies, including:

• Nutritional optimization
• Cardiovascular optimization
• Management of chronic conditions
• Patient education
• Perioperative pain management

Nutritional optimization

Nutritional optimization is essential for ERBS. Patients who are well-nourished have a stronger immune system, are better able to heal from surgery, and are less likely to experience complications.

Nutritional optimization can be achieved through a number of methods, including:

• Eating a healthy diet
• Taking nutritional supplements
• Receiving intravenous nutrition

Cardiovascular optimization

Cardiovascular optimization is also important for ERBS. Patients who have a healthy cardiovascular system are better able to tolerate the stress of surgery and are less likely to experience complications.

Cardiovascular optimization can be achieved through a number of methods, including:

• Exercising regularly
• Eating a healthy diet
• Taking medication to manage blood pressure or cholesterol

Management of chronic conditions

Patients with chronic conditions, such as diabetes or heart disease, need to have their conditions well-managed before surgery. This can help to reduce the risk of complications and improve the chances of a successful recovery.

Management of chronic conditions can be achieved through a number of methods, including:

• Taking medication
• Following a special diet
• Monitoring blood sugar or blood pressure

Patient education

Patient education is an important part of ERBS. Patients need to understand the importance of preoperative optimization and how they can contribute to their own recovery.

Patient education can be provided through a number of methods, including:

• Brochures and handouts
• Classes
• One-on-one counseling

Perioperative pain management

Pain is a common problem after surgery. It can make it difficult to move, breathe, and sleep. Good perioperative pain management can help to reduce pain and improve patient comfort.

Perioperative pain management can be achieved through a number of methods, including:

• Medication
• Nerve blocks
• Acupuncture

ERBS is an effective way to reduce complications, improve patient outcomes, and accelerate recovery after surgery. By implementing ERBS strategies, surgeons can help their patients to have a more positive surgical experience.

References

1. Enhanced Recovery After Surgery (ERAS) Society. (2018). ERAS Guidelines. https://www.erassociety.org/eras-guidelines/
2. Gustafsson, U. O., & Ljungqvist, O. (2013). Enhanced Recovery After Surgery: A review of the literature and its application in elective colorectal surgery. World Journal of Surgery, 37(12),2846-2857.
3. Liu, C., Wang, X., Xie, L., Zhang, X., & Wu, C. (2016). Enhanced recovery after surgery (ERAS) protocols for colorectal surgery: A systematic review and meta-analysis of randomized controlled trials. International Journal of Surgery, 33, 64-71.
4. Raeder, J. C., Keim, S. M., & Anderson, J. T. (2017). Enhanced Recovery After Surgery (ERAS): A comprehensive review of the literature. Journal of the American College of Surgeons, 224(5),984-1003.

Preoperative Optimization of the Chronic Pain Patient: Enhanced Recovery Before Surgery

by Heath B. McAnally

5 out of 5

Language	:	English
File size	:	4411 KB
Text-to-Speech	:	Enabled
Screen Reader	:	Supported
Enhanced typesetting	:	Enabled
Print length	:	280 pages
Lending	:	Enabled
X-Ray for textbooks	:	Enabled

FREE