Surgical Recovery

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

This issue of Surgical Clinics of North America focuses on Enhanced Recovery After Surgery: Past, Present, and Future, and is edited by Dr. Daniel I. Chu. Articles will include: Overview of Enhanced Recovery After Surgery: The Evolution and Adoption of ERAS in North America; ERAS and Effects on Quality Metrics; ERAS and Effects on Patient-Reported Outcomes; ERAS: Economic Impact and Value; Pre-Op Preparations for ERAS: A Role for Prehabilitation; ERAS and Multimodal Strategies for Analgesia; ERAS and Intra-operative Fluid Strategies; ERAS Implementation: Strategies, Barriers and Facilitators; Nursing Perspectives on ERAS; ERAS and Reduction of Surgical Disparities; ERAS in Community Hospitals; ERAS: What's New in Colorectal; ERAS: Hepatobiliary; ERAS: Urology; ERAS: Gyn-Oncology; ERAS and Future Directions; and more!

This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.

Recovering from surgery is greatly dependent upon the type of surgery you will be having. Enhanced recovery pathways include preoperative, intraoperative, and postoperative practices that decrease complications and accelerate recovery. How long it takes you to fully recover from your surgery will depend on many things, including: • your age • your health before the surgery • the extent of your injuries • the success of your rehabilitation • the amount of rest you get. It may take a few days or a week to recover from a less complex operation, but it can take a few months to recover from major surgery. The American Society of Anesthesiologists Physical Status (ASA-PS) classification has long been used as a ranking system that quantifies patient health before anesthesia and surgery. It is widely used to determine a patient’s likelihood of developing postoperative complications. ERAS is the acronym of Enhanced Recovery After Surgery: a multimodal perioperative approach based on the best medical evidence. The aim of this program is to try to change the physiological and psychological responses to major surgery. Malnutrition is one of the most important patient-related factors affecting morbidity and mortality in surgical patients. In addition, infections are important in the recovery process after surgery.

This book provides up-to-date information and practical approaches to Enhanced Recovery after Surgery (ERAS) programs for digestive and / or cardiopulmonary surgery. ERAS programs following surgical interventions are now part of the standard of care for patients undergoing various operative procedures. These programs have been associated with reductions in complications, in length of hospital stay after surgery and in related costs, and have led to improved patient QOL. Enhanced Recovery after Surgery discusses a range of aspects of the program, from surgical procedure to perioperative management. Each chapter is written by experts in the field, including digestive, cardiopulmonary and pediatric surgeons. It is a valuable resource for surgeons, nurses and administrators interested in initiating an ERAS program.

Are you facing back, knee surgery, hip replacement, plastic cosmetic surgery, a hysterectomy or other kind of surgery? Want to heal faster, improve your surgery recovery by reducing pain, swelling and downtime? Read this book first. This 2014 clinically-researched guide covers every aspect of preparing and recovering faster from surgery naturally with less pain and swelling. *Learn effective natural pain management options that can assist you in weaning off pain medication sooner; * understand which foods and supplements NOT to consume before surgery; *learn how to care for your incision to reduce scarring; *learn the Recover Quickly Diet and nutritional supplementation clinically shown to shorten recovery time; *learn how to reduce risks of infection and complications by enhancing your immune system prior to your surgery; *access key questions for your surgeon, *access the complete list of essential items to bring to the hospital; *how to detoxify from anesthesia; *learn meditative exercises to relax you before and after surgery; manage the stress and emotions around surgery and much more. Ultimately, this book will assist you in living a healthier life after surgery. Dr. Girard, a chiropractor for nearly thirty years, has successfully counseled hundreds of patients to prepare for surgery by adhering to a specific diet and nutritional protocols that can decrease swelling, pain and recovery time. Dr. Girard’s key guide to surgical preparation is supported by a vast amount of recent clinical research supporting the effectiveness of many of these specific, natural protocols. A quick, informative and easy read, this guide can make your life easier.