There are many key aspects of ERPs under the primary responsibility of the anesthesiology team including attenuation of surgical stress, fluid therapy, analgesia, and maintenance of normothermia and euglycemia. An anesthesia protocol allowing for rapid awakening is used. Deep neuromuscular blockade may help with exposure during laparoscopic surgery at lower pressures of pneumoperitoneum. For more […]
Nasogastric tubes: Prophylactic NG tubes are not inserted routinely after bowel surgery. Meta-analyses of trials in mainly lower GI surgery found that bowel function was accelerated and pulmonary complications reduced when NGs were not used (1). NG tube insertion postoperatively may be required in up to 15% of patients. After gastrectomy, a meta-analysis comparing routine […]