Consensus Review of Optimal Perioperative Care in Colorectal Surgery Enhanced Recovery After Surgery (ERAS) Group Recommendations

被引:790
作者
Lassen, Kristoffer [1 ,2 ]
Soop, Mattias [3 ]
Nygren, Jonas [4 ,5 ]
Cox, P. Boris W. [7 ]
Hendry, Paul O. [9 ]
Spies, Claudia [11 ,12 ]
von Meyenfeldt, Maarten F. [8 ]
Fearon, Kenneth C. H. [9 ]
Revhaug, Arthur [1 ,2 ]
Norderval, Stig [1 ,2 ]
Ljungqvist, Olle [6 ]
Lobo, Dileep N. [10 ]
Dejong, Cornelis H. C. [8 ]
机构
[1] Univ Hosp No Norway, Dept Gastrointestinal Surg, N-9038 Tromso, Norway
[2] Univ Tromso, Inst Clin Med, Tromso, Norway
[3] Univ Auckland, Fac Med & Hlth Sci, Dept Surg, Auckland 1, New Zealand
[4] Ersta Hosp, Dept Surg, Stockholm, Sweden
[5] Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Stockholm, Sweden
[6] Karolinska Univ, Huddinge Hosp, CLINTEC, Karolinska Inst,Div Surg, Stockholm, Sweden
[7] Maastricht Univ, Med Ctr, Dept Anaesthesiol & Pain Therapy, Maastricht, Netherlands
[8] Maastricht Univ, Med Ctr, Dept Surg & NUTRIM, Maastricht, Netherlands
[9] Royal Infirm Edinburgh NHS Trust, Dept Clin & Surg Sci, Edinburgh, Midlothian, Scotland
[10] Univ Nottingham Hosp, Queens Med Ctr, Div Gastrointestinal Surg, Nottingham Digest Dis Ctr,Biomed Res Unit, Nottingham NG7 2UH, England
[11] Charite, Dept Anaesthesiol & Intens Care Med, D-13353 Berlin, Germany
[12] Charite, Campus Virchow Klinikum, D-13353 Berlin, Germany
关键词
RANDOMIZED CLINICAL-TRIAL; MECHANICAL BOWEL PREPARATION; MOLECULAR-WEIGHT HEPARIN; PREOPERATIVE FASTING GUIDELINES; INTRAVENOUS FLUID RESTRICTION; EPIDURAL ANALGESIA; POSTOPERATIVE NAUSEA; COLONIC RESECTION; DOUBLE-BLIND; MAJOR SURGERY;
D O I
10.1001/archsurg.2009.170
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: To describe a consensus review of optimal perioperative care in colorectal surgery and to provide consensus recommendations for each item of an evidence-based protocol for optimal perioperative care. Data Sources: For every item of the perioperative treatment pathway, available English-language literature has been examined. Study Selection: Particular attention was paid to meta-analyses, randomized controlled trials, and systematic reviews. Data Extraction: A consensus recommendation for each protocol item was reached after critical appraisal of the literature by the group. Data Synthesis: For most protocol items, recommendations are based on good-quality trials or metaanalyses of such trials. Conclusions: The Enhanced Recovery After Surgery (ERAS) Group presents a comprehensive evidence-based consensus review of perioperative care for colorectal surgery. It is based on the evidence available for each element of the multimodal perioperative care pathway.
引用
收藏
页码:961 / 969
页数:9
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