Open AccessProtocolo ERAS® en cirugía colorrectal
Author(s) -
William C. MacLean,
Paul Mackenzie,
Chris Limb,
Timothy Rockall
Publication year - 2021
Publication title -
revista argentina de cirugía/revista argentina de cirugía
Language(s) - English
Resource type - Journals
eISSN - 2250-639X
pISSN - 0048-7600
DOI - 10.25132/raac.v113.n2.eras04wm.ei
Subject(s) - medicine , psychological intervention , colorectal surgery , multidisciplinary approach , colorectal cancer , perioperative , surgical stress , protocol (science) , general surgery , intensive care medicine , surgery , nursing , cancer , alternative medicine , abdominal surgery , social science , pathology , sociology
Enhanced Recovery After Surgery (ERAS®) in colorectal surgery is a protocol that promotes quicker return to function. It follows the latest evidence-based research to promote stress reduction related to surgery. The recommended perioperative pathway is fine-tuned, dynamic and in line with the latest evidence-based research to enhance all aspects of the patient’s surgical care. We describe the four aspects for a patient undergoing colorectal surgery – pre-admission, pre-operative, intra-operative and post-operative. The running theme is to reduce overall physiological stress related to surgery and interventions overlap throughout the patient’s pathway. Using a multidisciplinary approach, adherence to ERAS® in colorectal surgery with ≥70 % compliance to the ERAS interventions has shown a risk reduction of 5-year cancer-related death by 42%. The optimum interventions are not only determined through the publication of high-quality research, but regular international collaboration enables experience and research to be shared and care standardised