What are the intraoperative components of enhanced recovery after surgery (ERAS) programs for emergency GI surgical procedures?

Updated: Jan 20, 2021
  • Author: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed); Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Answer

A surgical stress to the body causes a series of metabolic changes that leads to a cascade of endocrine and inflammatory responses. The magnitude of the responses depends on the extent and nature of the surgical procedure. An ERAS protocol is primarily aimed at reducing the perioperative injury and stress to the body, thereby maintaining the body’s homeostasis. [11] Thus, the components of intraoperative care—including short-acting anesthetic agents, GDFT, normothermia, and the use of minimal-access surgery (MAS)—are important determinants of the ERAS protocol. [11]


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