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Type:	Artigo de Periódico
Title:	Enhanced recovery after surgery (ERAS): new concepts in perioperative management of gynecologic surgery
Other Titles:	Programa Enhanced Recovery After Surgery (ERAS): novos conceitos de manejo perioperatório em cirurgia ginecológica
Authors:	Agnaldo Lopes da Silva Filho Aline Evangelista Santiago Sophie Françoise Mauricette Derchain Jesus Paula Carvalho
Abstract:	The Enhanced Recovery After Surgery (ERAS) program is a paradigm shift from traditional perioperative management initiated by Kehlet in 19971 as a multidisciplinary approach to the care of the surgical patient. The programis based on perioperative medical optimization, including preoperative counseling, pain relief, carbohydrate loading, thromboembolism prophylaxis, standard anesthetic protocol and intraoperative fluid, recovery of normal gastrointestinal function, and early mobilization. The primary goal of the protocol is to minimize the response to the stress of the operation by maintaining homeostasis, avoiding catabolism with consequent loss of protein and muscle strength, and cellular dysfunction. Themain objectives of the ERAS programare to accelerate functional recovery, improve postoperative outcomes, shorten the length of stay (LOS) in the hospital, reduce the overall health care costs, and improve the satisfaction of the patients without increasing complications and/or hospital readmission rates. The ERAS protocols resulted in a 30% to 50% reduction in the LOS and similar reductions in complications, as well as lower costs and readmission rates. The protocols were developed for colorectal surgery, and variations are being adopted for surgical procedures of various specialties, including Gynecology.
Subject:	Conforto do paciente Recuperação pós-cirúrgica melhorada Cuidados pós-operatórios Procedimentos cirúrgicos em ginecologia
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	https://doi.org/10.1055/s-0038-1668581
URI:	http://hdl.handle.net/1843/52685
Issue Date:	Aug-2018
metadata.dc.url.externa:	https://www.scielo.br/j/rbgo/a/wyr7fH6yGQVKCyHN43xKnhq/?lang=en
metadata.dc.relation.ispartof:	Revista Brasileira de Ginecologia e Obstetrícia
Appears in Collections:	Artigo de Periódico

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