Enhanced Recovery After Surgery (ERAS) is a global surgical quality improvement initiative that originated in colorectal surgery and has now spread to numerous other disciplines including gynecology (benign and malignant) and obstetrics (caesarean delivery). ERAS is associated with improvements in clinical outcomes (reduction in length of hospital stay, complications, readmissions), cost savings for the healthcare system, and patient satisfaction.
The ERAS® Society Handbook for Obstetrics and Gynecology covers all aspects of enhanced recovery care for the disciplines of general gynecology, gynecologic oncology, urogynecology and obstetrical surgery. Written by renowned experts in the field, chapters discuss foundational knowledge on ERAS and provide specific worked examples, ERAS order sets, and practical implementation tools.This book is an indispensable resource to researchers interested in ERAS and also anesthesiologists, gynecologists and obstetricians interested in initiating an ERAS program.
- Covers all aspects of enhanced recovery care for the disciplines of general gynecology, gynecologic oncology, and obstetrical surgery
- Enables gynecologists and obstetricians to realize improvements in clinical outcomes for their patients by providing knowledge and practical tools for implementation of the ERAS program
- Discusses specific worked examples and provides practical implementation tools
Arvustused
*4 stars* "This book provides a comprehensive overview of enhanced surgical recovery after surgery (ERAS) and best practices in obstetric and gynecologic surgery. The purpose is to provide a complete and concise resource for ERAS in obstetric and gynecologic surgical care. It guides the readers through the preoperative, intraoperative, and postoperative phases of ERAS care.... These are worthwhile objectives in the current clinical climate as ERAS has become the standard of surgical care. This book clearly meets these objectives providing a singular valuable resource for ERAS in obstetrics and gynecology. This book is suitable for OB-GYN residents, fellows, and medical students and for practicing OB-GYN specialists and subspecialists who provide surgical care. The writing is clear and concise. The book is referenced appropriately. The authors provision of a clearly marked summary at the end of each chapter enables the readers to quickly distill the essentials of ERAS. The tables and figures are easy to identify and illuminate the written text. This book is a comprehensive reference for the application of ERAS in obstetrics and gynecology. Its content is timely as ERAS has become the standard of surgical care and is becoming more widely adopted by the year. I welcome this edition to my library. The length and accessible content make this an invaluable and quick desktop reference for any obstetric and gynecologic surgeon. --©Doodys Review Service, 2022, Katherine A Smith, MD (University of Texas Southwestern Medical Center)
SECTION I. PREOPERATIVE
1. Prehabilitation
2. Preoperative optimization
3. Updates on bowel preparation
4. Preoperative fasting and carbohydrate loading
SECTION II. INTRAOPERATIVE
5. Anesthetic protocol
6. Surgical site infection prevention
7. Avoidance of drains and tubes
8. Maintenance of normothermia
9. Fluid and hemodynamic therapy
10. Postoperative nausea and vomiting: A pragmatic program
SECTION III. POSTOPERATIVE
11. Postoperative opioid sparing analgesia
12. Impact of early oral intake
13. Venous thromboembolic prophylaxis
14. Early mobilization and impact on recovery
15. Patient reported outcomes (PROs)
SECTION IV. ERAS IMPLEMENTATION
16. Creating an ERAS team and order set
17. Audit, compliance, and research design
SECTION V. DISCIPLINE SPECIFIC CONSIDERATIONS AND OUTCOMES 18. Discipline specific considerations and outcomes: Obstetrical surgery
19. Discipline specific considerations and outcomes: Minimally invasive surgery
20. ERAS Gynecologic oncology
21. Urogynecology
Dr. Gregg Nelson is Professor and Chief of Gynecologic Oncology at the Tom Baker Cancer Centre in Calgary, Alberta, Canada. He is also Deputy Head of the Department of Obstetrics & Gynecology at the Cumming School of Medicine and Surgical Lead, ERAS Alberta. His principal research interest is the development and study of Enhanced Recovery After Surgery (ERAS) protocols in cancer and ObGyn surgery. Dr. Nelson and his international team of collaborators published the ERAS® Guidelines for Gynecologic/Oncology Surgery (2016 and updated in 2019), publications that have transformed and helped to align perioperative care in the discipline. Dr. Nelsons expertise in this area is recognized internationally through his leadership roles as Secretary of the ERAS® Society and also as the Chair of the ERAS® Society Womens Health Chapter. Dr. Nelson is also on the organizing committee for the yearly ERAS® Society World Congress. Pedro T. Ramirez MD is Professor of Gynecologic Oncology at MD Anderson Cancer Center in Houston, Texas. He has authored and co-authored 264 scientific publications and has written 19 book chapters, monographs, and invited articles. He is also the Editor-in-Chief of the International Journal of Gynecological Cancer. In addition, he is the Director of the Enhanced Recovery After Surgery (ERAS) Gynecologic Oncology Program at MD Anderson Cancer Center.
Dr. Ramirez is the Principal Investigator of numerous prospective trials, including the LACC Trial. His areas of research interest include outcomes of minimally invasive surgery in gynecologic cancers and enhanced recovery after surgery implementation pathways. Sean C. Dowdy is Professor and Chair of Gynecologic Oncology, Midwest Chair of Quality and Affordability, and Deputy Chief Value Officer for Mayo Clinic in Rochester, MN. He has authored over 200 peer reviewed publications, and led national initiatives to accelerate postoperative recovery, reduce length of hospital stay, improve pain control and reduce complications for women undergoing surgery for gynecologic cancers. His clinical focus is on minimally invasive surgery and complex surgery for patients with advanced gynecologic cancer. R. Douglas Wilson is Professor Emeritus and previous Head of the Department of Obstetrics and Gynecology in The University of Calgary, Canada. His research interest includes congenital anomalies, prenatal diagnosis (screening, non-invasive imaging ultrasound, MRI, low radiation CT), invasive prenatal diagnosis (chorionic villus sampling, amniocentesis, cordocentesis, fetoscopy), fetal therapy and maternal serum DNA/RNA fetal analysis. Michael James Scott is a Professor and Chief of Critical Care Medicine in Penn Medicine, USA. He has over 25-year experience in Anesthesiology and Critical Care Medicine, and his research interest includes pathophysiology of surgery and perioperative outcomes, analgesia, functional outcomes and opioid sparing.
Dr. Scotts work in basic sciences and quality improvement has led to worldwide acceptance of a new approach to care of the surgical patient Enhanced Recovery After Surgery (ERAS). In 2003 his departments published work has helped build the evidence base that rapid recovery after surgery leads to improved outcomes, reduced complications and reduced costs.
Lisainfo e-raamatute kohta