Open AccessGuidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations: 2018
Author(s) -
Gustafsson U. O.,
Scott M. J.,
Hubner M.,
Nygren J.,
Demartines N.,
Francis N.,
Rockall T. A.,
YoungFadok T. M.,
Hill A. G.,
Soop M.,
Boer H. D.,
Urman R. D.,
Chang G. J.,
Fichera A.,
Kessler H.,
Grass F.,
Whang E. E.,
Fawcett W. J.,
Carli F.,
Lobo D. N.,
Rollins K. E.,
Balfour A.,
Baldini G.,
Riedel B.,
Ljungqvist O.
Publication year - 2018
Publication title -
world journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 148
eISSN - 1432-2323
pISSN - 0364-2313
DOI - 10.1007/s00268-018-4844-y
Subject(s) - medicine , protocol (science) , colorectal surgery , guideline , quality of evidence , vascular surgery , perioperative , grading (engineering) , randomized controlled trial , cardiothoracic surgery , evidence based medicine , abdominal surgery , medline , surgery , general surgery , intensive care medicine , medical physics , cardiac surgery , alternative medicine , civil engineering , pathology , political science , law , engineering
Background This is the fourth updated Enhanced Recovery After Surgery (ERAS ® ) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS ® protocol. Methods A wide database search on English literature publications was performed. Studies on each item within the protocol were selected with particular attention paid to meta‐analyses, randomised controlled trials and large prospective cohorts and examined, reviewed and graded according to Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results All recommendations on ERAS ® protocol items are based on best available evidence; good‐quality trials; meta‐analyses of good‐quality trials; or large cohort studies. The level of evidence for the use of each item is presented accordingly. Conclusions The evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS ® Society in this comprehensive consensus review.