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2013, Number 1

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Rev Latinoam Cir 2013; 3 (1)

ERAS protocol in patients undergoing elective surgery

Chalhoub BYD, Álvarez CMA, Velázquez GJ

Language: Spanish
References: 11
Page: 5-11
PDF size: 254.40 Kb.


ABSTRACT

Background: Enhanced Recovery After Surgery protocol (ERAS), is a strategy that combines perioperative management based on scientific evidence that works synergistically to enhance functional recovery of patients after surgery, minimizing surgical stress. We compare the impact of multimodal management with traditional management in patients undergoing elective surgery.
Material and methods: In this descriptive study, we included prospective patients undergoing different types of elective surgery. A total of 35 patients were divided in two groups: a study group (n = 16), which underwent ERAS protocol, and a control group (n = 19), treated in the conventional manner.
Results: Gastric residual volume in the preoperative evaluation was 7 ± 6 and 14 ± 9 cm3 for the study and control groups, respectively. Significant changes were observed in blood glucose (p = 0.042), levels being lower for the study group, which was 2.6 times lower than the control group. Similarly, the study group had less pain and shorter hospital stay than the control group.
Conclusions: ERAS protocol in patients undergoing elective surgery demonstrates a significant decrease in insulin resistance and thus, no postoperative hyperglycemia, as well as no risk of broncoaspiration, less postoperative pain and faster recovery.


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