Enhanced recovery after esophageal resection
- PMID: 29573788
- DOI: 10.1016/j.ciresp.2018.02.010
Enhanced recovery after esophageal resection
Abstract
ERAS is a multimodal perioperative care program which replaces traditional practices concerning analgesia, intravenous fluids, nutrition, mobilization as well as a number of other perioperative items, whose implementation is supported by evidence-based best practices. According to the RICA guidelines published in 2015, a review of the literature and the consensus established at a multidisciplinary meeting in 2015, we present a protocol that contains the basic procedures of an ERAS pathway for resective esophageal surgery. The measures involved in this ERAS pathway are structured into 3areas: preoperative, perioperative and postoperative. The consensus document integrates all the analyzed items in a unique time chart. ERAS programs in esophageal resection surgery can reduce postoperative morbidity, mortality, hospitalization and hospital costs.
Keywords: Cirugía esofágica; ERAS; Esophageal surgery; Rehabilitación multimodal.
Copyright © 2018 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.
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