Journal
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY
Volume 34, Issue 4, Pages 687-700Publisher
ELSEVIER
DOI: 10.1016/j.bpa.2020.07.011
Keywords
antiemetic; colorectal surgery; corticosteroids; dexamethasone; Enhanced Recovery after Surgery; goal-directed fluid therapy; guidelines; 5-HT3; multimodal analgesia; ondansetron; opioid-sparing; postoperative gastrointestinal dysfunction; postoperative nausea and vomiting; preoperative carbohydrate loading; preoperative fasting; prophylaxis; surgery; ERAS paradigms
Categories
Ask authors/readers for more resources
The concept of Enhanced Recovery after Surgery (ERAS) emerged at the turn of the millennium and quickly gained footing worldwide leading to the establishment of institutional ERAS protocols and subspecialty guidelines. While the use of postoperative nausea and vomiting (PONV) prophylaxis predates ERAS by a significant extent, the emergence of ERAS amplified the importance of antiemetic prophylaxis in perioperative care and drew attention to the truly multifactorial nature of postoperative gastrointestinal dysfunction. The following discussion will review key paradigms behind PONV prophylaxis and ERAS, highlight the interrelationship between these two endeavors, and then explore subspecialty ERAS guidelines that uniquely influence PONV prophylaxis. Attention will center on the ERAS Society guidelines (ESGs) as the primary representative of current ERAS practice, though many deviations from the guidelines exist within the literature and institutional practices. (C) 2020 Elsevier Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available