Enhanced recovery programs in outpatient surgery Review


Authors: Afonso, A. M.; Tokita, H. K.; McCormick, P. J.; Twersky, R. S.
Review Title: Enhanced recovery programs in outpatient surgery
Abstract: Although enhanced recovery pathways were initially implemented in inpatients, their principles are relevant in the ambulatory setting. Opioid minimization and addressing pain and nausea through multimodal analgesia, regional anesthesia, and robust preoperative education programs are integral to the success of ambulatory enhanced recovery programs. Rather than measurements of length of stay as in traditional inpatient programs, the focus of enhanced recovery programs in ambulatory surgery should be on improved quality of recovery, pain management, and early ambulation. © 2019 Elsevier Inc.
Keywords: treatment outcome; patient satisfaction; review; postoperative care; patient education; health care quality; health program; length of stay; paracetamol; cyclooxygenase 2 inhibitor; nonsteroid antiinflammatory agent; prophylaxis; perioperative period; anxiety; lidocaine; analgesia; drug tolerance; gabapentin; nerve block; personalized medicine; pregabalin; ambulatory surgery; postoperative nausea and vomiting; regional anesthesia; transversus abdominis plane block; paravertebral block; multidisciplinary team; enhanced recovery after surgery; enhanced recovery program; multimodal analgesia; enhanced recovery programs; opioid-sparing pain management; peripheral nerve blocks; postdischarge nausea and vomiting; quality of recovery
Journal Title: Anesthesiology Clinics
Volume: 37
Issue: 2
ISSN: 1932-2275
Publisher: Elsevier Inc.  
Date Published: 2019-06-01
Start Page: 225
End Page: 238
Language: English
DOI: 10.1016/j.anclin.2019.01.007
PUBMED: 31047126
PROVIDER: scopus
DOI/URL:
Notes: Review -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Anoushka Maria Afonso
    47 Afonso
  2. Rebecca Shoshana Twersky
    26 Twersky
  3. Hanae Tokita
    27 Tokita