ERAS (Enhanced Recovery After Surgery)
Enhanced Recovery After Surgery (ERAS) is a multimodal, multidisciplinary, evidence-based approach to perioperative care. The purpose of the ERAS concept is to minimize complications related to the surgical procedure and early recovery of physiological functions, which results in reduced rates of morbidity, faster recovery and shorter length of stay in hospital. Interdisciplinary collaboration, especially anaesthesiologist, surgeon, nurse and physiotherapist, is essential.
Review
The algorithm is elaborated on a current topic. Nowadays, the ERAS principle is established in many hospitals but with a different rate of success. The availability of the algorithm to students and doctors in training could certainly be helpful in its broader acceptance in our environment.
The algorithm is created in Czech as well as English version in a simple and comprehensible manner using understandable medical terminology without any typing errors or mistakes. The summary of the ERAS principle in abdominal surgery is carried out using eight screens of interactive multimedia such as an illustrative video of a colonoscopy showing a tumor or another one depicting an anaesthesiological record during surgery and illustrative pictures and charts.
Sources
RŮŽEK, Lukáš a Jan HRUDA. Pooperační nauzea a zvracení v dospělé populaci. Postgraduální medicína. 2018, 20(5), 473-478. ISSN 12124184.
VYMAZAL, Tomáš. Koncept ERAS (Enhanced Recovery After Surgery). Postgraduální medicína. 2018, 20(5), 453-455. ISSN 12124184.
GUSTAFSSON, U. O., M. J. SCOTT a W. SCHWENK ET AL. WORLD J SURG. Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. World Journal of Surgery[online]. 2013, 37, 259-284 [cit. 2019-03-05]. DOI: https://doi.org/10.1007/s00268-012-1772-0. ISSN 14322323. Available at: https://link.springer.com/article/10.1007/s00268-012-1772-0
Epidural Anesthesia and Analgesia. Nysora: Continuing Medical Education [online]. [cit. 2019-04-25]. Available at: https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/epidural-anesthesia-analgesia/
LEVY, B. F., M. J. SCOTT, W. FAWCETT, C FRY a T. A. ROCKALL. Randomized clinical trial of epidural, spinal or patient‐controlled analgesia for patients undergoing laparoscopic colorectal surgery [online]. 2011, 98(8), 1068-1078 [cit. 2019-04-25]. Available at: https://onlinelibrary.wiley.com/doi/full/10.1002/bjs.7545
Ultrasound-Guided Transversus Abdominis Plane and Quadratus Lumborum Blocks. Nysora: Continuing Medical Education [online]. [cit. 2019-04-25]. Available at: https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/ultrasound-guided-transversus-abdominis-plane-quadratus-lumborum-blocks/
