Long acting benzodiazepines are avoided. Short-acting agents to reduce anxiety during induction of anesthesia or insertion of epidurals are used selectively. « Carbohydrate drinkLaparoscopic surgery »
Patient and caregiver preparation is an essential part of an ERP. The goal is to better prepare patients to play an active role in their recovery. Benefits of preoperative information include shorter hospital stay, less demand for analgesia and increased patient satisfaction (1). Developing effective patient education materials is a science as well as an […]
After colorectal surgery, metaanalyses comparing early nutrition (within 24 hours) compared to traditional step-wise introduction of oral intake after return of bowel function conclude that early feeding decreases complications without increasing the risk of leak or affecting bowel function; NG tube reinsertion was not significantly increased (10% versus 7%) (1). After laparoscopic bowel surgery, patients […]
Both laparoscopic surgery and ERPs result in improved outcomes when used in isolation. But additional benefits are seen when they are combined. In a large multicenter trial where patients were allocated to four groups combining surgical approach (laparoscopic or open) and perioperative care (enhanced recovery or standard), the combination of MIS and ERP resulted in […]
Multiple elements of the pathway may have an impact in supporting normal bowel function including laparoscopic surgery, fluid balance and opioid sparing analgesia. Chewing sugar free gum is a simple low cost intervention that decreases time to first flatus, bowel movement and hospital stay after colorectal surgery overall and reduces time to first BM when […]