Full Description
The ERAS® Society Handbook for Obstetrics & Gynecology covers all aspects of enhanced recovery care for disciplines of general gynecology, gynecologic oncology, urogynecology and obstetrical surgery. Written by renowned experts in the field, chapters discuss foundational knowledge on ERAS and provide specific worked examples, ERAS order sets, and practical implementation tools. This book is an indispensable resource to researchers interested in ERAS, but it is also ideal for anesthesiologists, gynecologists and obstetricians interested in initiating an ERAS program.
Enhanced Recovery After Surgery (ERAS) is a global surgical quality improvement initiative that originated in colorectal surgery and has now spread to numerous other disciplines, including gynecology (benign and malignant) and obstetrics (caesarean delivery). ERAS is associated with improvements in clinical outcomes (reduction in length of hospital stay, complications, readmissions), cost savings for the healthcare system, and patient satisfaction, hence the addition of this comprehensive resource on the topics is a welcomed addition to the available literature.
Contents
SECTION I. PREOPERATIVE
1. Prehabilitation
2. Preoperative optimization
3. Updates on bowel preparation
4. Preoperative fasting and carbohydrate loading
SECTION II. INTRAOPERATIVE
5. Anesthetic protocol
6. Surgical site infection prevention
7. Avoidance of drains and tubes
8. Maintenance of normothermia
9. Fluid and hemodynamic therapy
10. Postoperative nausea and vomiting: A pragmatic program
SECTION III. POSTOPERATIVE
11. Postoperative opioid sparing analgesia
12. Impact of early oral intake
13. Venous thromboembolic prophylaxis
14. Early mobilization and impact on recovery
15. Patient reported outcomes (PROs)
SECTION IV. ERAS IMPLEMENTATION
16. Creating an ERAS team and order set
17. Audit, compliance, and research design
SECTION V. DISCIPLINE SPECIFIC CONSIDERATIONS AND OUTCOMES
18. Discipline specific considerations and outcomes: Obstetrical surgery
19. Discipline specific considerations and outcomes: Minimally invasive surgery
20. ERAS Gynecologic oncology
21. Urogynecology
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