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Anesthesiology clinics · Mar 2015
ReviewPathophysiology of major surgery and the role of enhanced recovery pathways and the anesthesiologist to improve outcomes.
- Michael J Scott and Timothy E Miller.
- Department of Anesthesia and Perioperative Medicine, Royal Surrey County Hospital NHS Foundation Trust, Egerton Road, Surrey, Guildford GU1 7XX, United Kingdom; Surrey Perioperative Anesthesia Critical Care Research Group (SPACeR), University of Surrey, Surrey, Guildford GU2 7XH, United Kingdom. Electronic address: mjpscott@btinternet.com.
- Anesthesiol Clin. 2015 Mar 1;33(1):79-91.
AbstractEnhanced recovery pathways have been increasingly adopted into surgical specialties with the aim of reducing the stress response and improving the metabolic response to surgical insult. Enhanced recovery pathways encompass a large range of perioperative elements that together aim to restore a patient's gut function, mobility, function and well-being to preoperative levels as soon as feasible after major surgery. There is increasing evidence that rapid recovery and return to normal function reduces complications. This may not just have a benefit by reducing morbidity and mortality but also have an effect on long-term survival. There also may be additional benefits for patients with cancer.Copyright © 2015 Elsevier Inc. All rights reserved.
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