TY - JOUR
T1 - Enhanced Recovery Pathway in Gynecologic Surgery
T2 - Improving Outcomes Through Evidence-Based Medicine
AU - Kalogera, Eleftheria
AU - Dowdy, Sean C.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - A paucity of data exists regarding traditional perioperative practices (bowel preparation, NPO at midnight, liberal narcotics, PCA use, liberal fluids, prolonged bowel and bed rest). Enhanced Recovery after Surgery (ERAS) is an evidence-based approach to peri-operative care associated with improved outcomes including earlier return of gastrointestinal function, reduced opioid use, shorter hospital stay, and substantial cost reductions with stable complication and readmission rates. Basic principles include patient education, minimizing preoperative fasting, avoiding bowel preparation, preemptive analgesia, nausea/vomiting prophylaxis, perioperative euvolemia, no routine use of drain and nasogastric tubes, early mobilization, oral intake, and catheter removal, non-opioid analgesics, and preemptive laxatives.
AB - A paucity of data exists regarding traditional perioperative practices (bowel preparation, NPO at midnight, liberal narcotics, PCA use, liberal fluids, prolonged bowel and bed rest). Enhanced Recovery after Surgery (ERAS) is an evidence-based approach to peri-operative care associated with improved outcomes including earlier return of gastrointestinal function, reduced opioid use, shorter hospital stay, and substantial cost reductions with stable complication and readmission rates. Basic principles include patient education, minimizing preoperative fasting, avoiding bowel preparation, preemptive analgesia, nausea/vomiting prophylaxis, perioperative euvolemia, no routine use of drain and nasogastric tubes, early mobilization, oral intake, and catheter removal, non-opioid analgesics, and preemptive laxatives.
KW - Abdominal hysterectomy
KW - Benign
KW - Enhanced recovery
KW - Gynecologic surgery
KW - Laparoscopic hysterectomy
KW - Perioperative care
KW - Vaginal hysterectomy
UR - http://www.scopus.com/inward/record.url?scp=84991279554&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991279554&partnerID=8YFLogxK
U2 - 10.1016/j.ogc.2016.04.006
DO - 10.1016/j.ogc.2016.04.006
M3 - Review article
C2 - 27521884
AN - SCOPUS:84991279554
SN - 0889-8545
VL - 43
SP - 551
EP - 573
JO - Obstetrics and Gynecology Clinics of North America
JF - Obstetrics and Gynecology Clinics of North America
IS - 3
ER -