The Importance of Early Recovery After Surgery : Recent progress and perspectives

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  • Akiyoshi Kozaburo
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital

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Other Title
  • 術後回復能力強化プログラム
  • ジュツゴ カイフク ノウリョク キョウカ プログラム

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Abstract

Recent progress of medical treatment is remarkable. Among all other treatment, surgery plays a major role for treatment with trauma, malignant tumor, or cardiovascular disease. Every year, more than 200 million surgeries underwent all over the world. Advances in surgical techniques enables to reduce perioperative mortality rate as below as 0.4 - 0.8％ in advanced countries. But the cost for these medical treatments continue to increase and put pressures on finance in each countries. Thus it is very important to reduce postoperative complication and promote early recovery after surgery. Based on these ideas, the programs for early recovery after surgery (often referred as ERAS®) has introduced to strengthen postoperative recovery, reduce postoperative complications, and shortening hospital stay, and cost reduction. Its key principles are based on published evidence, which include pre-operative counselling, perioperative nutrition, avoidance of perioperative fasting, short acting anesthetics, analgesic regimens and early mobilization and rehabilitation. The program involves a team consisting of surgeons, anesthetists, and other staffs to achieve its goal.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 108 (2), 15-23, 2017-02-25

    Fukuoka Medical Association

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