Enhanced Recovery After Surgery. A Complete Guide to Optimizing Outcomes

Introduction: 1. Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care 2. Physiology and Pathophysiology 3. ERAS outcomes; the evidence 4. Introduction to ERAS Society Guidelines Preoperative Preparation:5. Preoperative Fasting and Carbohydrate Treatment 6. Preoperative Education 7. Preoperative Nutrition, Smoke and Alcohol Cessation, Anemia management, Other Medical Optimization, Prehabilitation 8. Bowel Preparation: Always, Sometimes, Never? Intraoperative Management: 9. Multimodal Analgesia to Facilitate Recovery (medications) 10. Regional Anesthesia Techniques 11. Anesthetic Management and the Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery 12. Fluid Management 13. Surgical techniques Postoperative management 14. Early oral nutrition and gut stimulation (dietetics) 15. Early ambulation and physiotherapy 16. Multimodal pain management 17. Nursing for recovery Prevention of Postoperative Complications: 18. Which outcomes are important in ERAS? 19. Postoperative Ileus: Prevention and Treatment 20. Surgical Site Infection Prevention 21. Thromboprophylaxis 22. Postoperative anemia management 23. Prevention of Intraoperative Hypothermia ERAS after discharge 24. Functional recovery at home and after discharge 25. Recovery within cancer journey 26. Readmission challenges and impacts within ERAS Specialty-Specific Enhanced Recovery Programs 27. Basics in ERAS 28. Colorectal surgery 29. Esophageal Surgery 30. Gastric Surgery 31. Bariatric Surgery 32. Urological Surgery 33. Breast Plastic and Reconstructive Surgery 34. Gynecologic Surgery 35. Neurosurgery: Brain and Spine 36. Orthopedic Surgery 37. ENT Surgery 38. Cardiac and Vascular Surgery 39. Thoracic Surgery 40. Ambulatory Surgery 41. Emergency laparotomy 42. Caesarian section Administrative: 43. Department-Wide Implementation (and barriers) of an Enhanced Recovery Pathway 44. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS (R) Society Implementation Program 45. Enhanced Recovery Programs: Making the Business Case - economics 46. ERAS Society and its affiliates around the world 47. Challenges of implementation in the developing world 48. Future Directions Quality improvement of ERAS 49. Measuring recovery 50. Measuring compliance: audit and data collection 51. Success and failure of ERAS: prediction models of outcomes

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient's condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Olle Ljungqvist, MD, PhD
Professor of Surgery, Senior Consultant Surgeon
Department of Surgery
OErebro University and OErebro University Hospital
OErebro, Sweden, 70185
olle.ljungqvist@ki.se

Nader K. Francis, MBChB, FRCS, PhD
Professor
Consultant Colorectal Surgeon
Department of Surgery
Yeovil District Hospital NHS Foundation Trust
Higher Kingston
Yeovil, Somerset, UK, BA21 4AT
nader.francis@ydh.nhs.uk

Richard D. Urman, MD, MBA, FASA
Associate Professor of Anesthesia
Department of Anesthesiology, Perioperative and Pain Medicine
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts, USA
urmanr@gmail.com