Description
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This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with "take home messages" and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs.
The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.
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1. Introduction to Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care
Liane S. Feldman
I. The Science of Enhanced Recovery: Building Blocks for Your Program
2. Preoperative Education
Deborah J. Watson and Elizabeth A. Davis
3. Medical Optimization and Prehabilitation
Thomas N. Robinson, Francesco Carli, and Celena Scheede-Bergdahl
4. Preoperative Fasting and Carbohydrate Treatment
Olle Ljungqvist
5. Bowel Preparation: Always, Sometimes, Never?
J. C. Slieker and D. Hahnloser
6. The Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery
Francesco Carli
7. Prevention of Hypothermia
Timothy E. Miller
8. Prevention of Postoperative Nausea and Vomiting
Robert Owen and Tong Joo Gan
9. Thromboprophylaxis
David Bergqvist
10. Surgical Site Infection Prevention
Elizabeth C. Wick and Jonathan E. Efron
11. Fluid Management
Sherif Awad and Dileep N. Lobo
12. Postoperative Ileus: Prevention and Treatment
Martin Hübner, Michael Scott, and Bradley Champagne
13. Choosing Analgesia to Facilitate Recovery
Kyle G. Cologne and Gabriele Baldini
14. Early Nutrition and Early Mobilization: Why They Are Important and How to Make It Happen
Yuliya Y. Yurko, Kenneth C. H. Fearon, and Tonia M. Young-Fadok
15. Management of Tubes, Drains, and Catheters
William S. Richardson
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Hospital Recovery and Full Recovery
Colin F. Royse and Julio F. Fiore Jr.
II. Creation and Implementation of an Enhanced Recovery Program
17. Overcoming Barriers to the Implementation of an Enhanced Recovery After Surgery Program
Emily Pearsall and Allan Okrainec
18. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from The ERAS ® Society Implementation Program
Olle Ljungqvist and Martin Hübner
19. Enhanced Recovery Programs: Making the Business Case
Anthony J. Senagore
20. Audit: Why and How
Andrew Currie and Robin Kennedy
21. Why Add an ERP to a Laparoscopic Case: The Colorectal Experience
Yanjie Qi and John
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R. T. Monson
III. Examples of Enhanced Recovery Programs
22. Enhanced Recovery Programs for Colorectal Surgery: University Hospitals Case Medical Center
Benjamin P. Crawshaw, Karen M. Brady, and Conor P. Delaney
23. Enhanced Recovery Programs for Colorectal Surgery: The Guildford (UK) Experience
Timothy Rockall and Michael Scott
24. Setting up an Enhanced Recovery Program Pathway for Bariatric Surgery: Current Evidence into Practice
Rajesh Aggarwal
25. Enhanced Recovery Pathways in Hepato-pancreato-biliary Surgery
Didier Roulin and Nicolas Demartines
26. Enhanced Recovery Programs for Upper Gastrointestinal Surgery: How I Do It
Chao Li, Monisha Sudarshan, and Lorenzo E. Ferri
27. Department-Wide Implementation of an Enhanced Recovery Pathway
Lawrence Lee
28. The ERAS® Society
Olle Ljungqvist and Ken Fearon
29. SAGES SMART Enhanced
Recovery Program
Liane S. Feldman
