“Patient Blood Management” in the Enhanced Recovery Program After Abdominal Surgery

García-Erce, José Antonio; Morales, María Jesús Laso

doi:10.1016/j.cireng.2017.02.003

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…5 Increased risk of hospital-associated infection, increased duration of hospitalization, higher probability of re-hospitalization, renal impairment and higher risk of thrombosis have also been attributed to low haemoglobin levels. 22 Correction of haemoglobin levels with supplements such as vitamin B12, iron and/or erythropoietin preoperatively is mandatory. 21 In patients with severe anemia or patients undergoing a major surgery, preoperative blood transfusion may correct haemoglobin levels rapidly and effectively; however, it carries the risk increased mortality and morbidity due to infection, stroke or myocardial infarction.…”

Section: Anemiamentioning

confidence: 99%

“…21 In patients with severe anemia or patients undergoing a major surgery, preoperative blood transfusion may correct haemoglobin levels rapidly and effectively; however, it carries the risk increased mortality and morbidity due to infection, stroke or myocardial infarction. 5,21,22 Implementation of such protocols will not only reduce and even avoid transfusions, but also help obtain the best clinical results, improve postoperative recovery, reduce rehospitalizations, and lower costs. 21,22 3.…”

Section: Anemiamentioning

confidence: 99%

“…5,21,22 Implementation of such protocols will not only reduce and even avoid transfusions, but also help obtain the best clinical results, improve postoperative recovery, reduce rehospitalizations, and lower costs. 21,22 3. Anaesthesiologist and Intra-Operative Period…”

Section: Anemiamentioning

confidence: 99%

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Enhanced recovery after surgery (ERAS) for the anaesthesiologist

Valecha¹,

Vohra²,

Patil³

et al. 2020

IJCA

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Enhanced recovery after surgery (ERAS) protocol consists of entire spectrum of pre, intra and postoperative designed to enhance patient outcomes. Since its first introduction for major abdominal surgery in the 1990's, ERAS protocols have been successfully used extensively in many countries in several major surgical procedures. When effectively implemented, ERAS resulted in reduction in hospitalization, improvement in satisfaction of the patients, and reduction in complication rate without an increase in readmissions. Implementation of ERAS in India has also positively affected the patient experience and led to efficient utilization of valuable hospital resources. Many of the ERAS components are linked to the anaesthesia team. Anaesthesiologists help in preparing anaesthesia, they also ascertain the fasting regime in preoperative period, assess premedication, and introduce prophylaxis for post-operative nausea and vomiting (PONV). Intraoperatively, they introduce low sodium fluid therapy, help in preventing hypothermia, and utilize short acting drugs. They also help in important decision making during postoperative analgesia. An anaesthesiologist role is foremost important in the implementation of ERAS protocol. The article aims to discuss the various components of ERAS and the role of anaesthesiologist in implementing them.

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Section: Anemiamentioning

confidence: 99%