Enhanced recovery after surgery in liver resection: current concepts and controversies / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 119-129, 2019.
Article
in English
| WPRIM
| ID: wpr-759520
ABSTRACT
Enhanced recovery after surgery (ERAS) attenuates the stress response to surgery in the perioperative period and hastens recovery. Liver resection is a complex surgical procedure where the enhanced recovery program has been shown to be safe and effective in terms of postoperative outcomes. ERAS programs have been shown to be associated with lower morbidity, shortened postoperative stay, and reduced cost with no difference in mortality and readmission rates. However, there are challenges that are unique to hepatic resection such as safety after epidural catheterization and postoperative coagulopathy, intraoperative fluids and postoperative organ dysfunction, need for low central venous pressure to reduce blood loss, and non-lactate containing intravenous fluids. This narrative review briefly discusses these concerns and controversies and suggests revisiting some of the strong recommendations made by the ERAS society in light of the recent evidence.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Catheterization
/
Analgesia, Epidural
/
Central Venous Pressure
/
Mortality
/
Perioperative Period
/
Catheters
/
Liver
Type of study:
Prognostic study
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2019
Type:
Article
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