Once upon a Time ERAS Principles and Future Perspectives in Emergency Surgery: OAJBS Publishers

Once upon a Time ERAS Principles and Future Perspectives in Emergency Surgery by Marco Scatizzi* in Open Access Journal of Biomedical Science (OAJBS)

Enhanced Recovery After Surgery (ERAS) is multimodal care approach that has revolutionized clinical practice in the field of elective Colo-rectal surgery; thanks to the scientific evidence acquired, ERAS has become standard approach for elective Colo-rectal cancer. As regards the application of an ERAS program in emergency Colo-rectal surgery, the available literature is still poor, and the few data available derive from studies of moderate quality. The first available data of literature suggest the safety, feasibility, and benefits of applying a modified ERAS protocol in abdominal Colo-rectal and small bowel surgery in emergency regime. In fact, the adoption of a modified ERAS program is associated with a lower incidence of complications and reduction in post-operative hospitalization without increasing the risk of readmission or re-operation and mortality at 30 days. Our ERAS team of the Santa Maria Annunziata Hospital in Florence, Italy, has drawn up the ERASMUS protocol, an ERAS original emergency protocol. The study is currently underway More evidence is needed to establish the benefits, but certainly emergency surgery appears to be a stimulating field of future application of ERAS protocols.
https://biomedscis.com/fulltext/once-upon-a-time-eras-principles-and-future-perspectives-in-emergency-surgery.ID.000283.php

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