Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 18, Issue 40, Pages 5661-5663Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v18.i40.5661
Keywords
Enhanced recovery; Fast-track; Laparoscopic; Intravenous fluid; Postoperative analgesia
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Enhanced recovery after surgery (ERAS) employs a multimodal perioperative care pathway with the aim of attenuating the stress response to surgery and accelerating recovery. It has been difficult to determine the relative importance of some of the individual components of these pathways such as epidural analgesia and laparoscopic colorectal surgery. Some argue that only a rigid adherence to the published ERAS protocol can achieve the proposed benefits of fast-track surgery. In this article, we explore some of the areas where the evidence base may be changing and ask whether a more flexible and individualised approach should be considered. (C) 2012 Baishideng. All rights reserved.
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