Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization.

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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_6367ACD59DB6
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization.
Journal
World journal of surgery
Author(s)
Peden C.J., Aggarwal G., Aitken R.J., Anderson I.D., Bang Foss N., Cooper Z., Dhesi J.K., French W.B., Grant M.C., Hammarqvist F., Hare S.P., Havens J.M., Holena D.N., Hübner M., Kim J.S., Lees N.P., Ljungqvist O., Lobo D.N., Mohseni S., Ordoñez C.A., Quiney N., Urman R.D., Wick E., Wu C.L., Young-Fadok T., Scott M.
ISSN
1432-2323 (Electronic)
ISSN-L
0364-2313
Publication state
Published
Issued date
05/2021
Peer-reviewed
Oui
Volume
45
Number
5
Pages
1272-1290
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Enhanced Recovery After Surgery (ERAS) protocols reduce length of stay, complications and costs for a large number of elective surgical procedures. A similar, structured approach appears to improve outcomes, including mortality, for patients undergoing high-risk emergency general surgery, and specifically emergency laparotomy. These are the first consensus guidelines for optimal care of these patients using an ERAS approach.
Experts in aspects of management of the high-risk and emergency general surgical patient were invited to contribute by the International ERAS® Society. Pubmed, Cochrane, Embase, and MEDLINE database searches on English language publications were performed for ERAS elements and relevant specific topics. Studies on each item were selected with particular attention to randomized controlled trials, systematic reviews, meta-analyses and large cohort studies, and reviewed and graded using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Recommendations were made on the best level of evidence, or extrapolation from studies on non-emergency patients when appropriate. The Delphi method was used to validate final recommendations. The guideline has been divided into two parts: Part 1-Preoperative Care and Part 2-Intraoperative and Postoperative management. This paper provides guidelines for Part 1.
Twelve components of preoperative care were considered. Consensus was reached after three rounds.
These guidelines are based on the best available evidence for an ERAS approach to patients undergoing emergency laparotomy. Initial management is particularly important for patients with sepsis and physiological derangement. These guidelines should be used to improve outcomes for these high-risk patients.
Pubmed
Web of science
Open Access
Yes
Create date
16/03/2021 8:31
Last modification date
12/08/2021 5:40
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