Perioperative management according to the principles of the program of rapid postoperative recovery (ERAS) in the prevention of acute bowel obstruction (a clinical lecture)

Authors

  • M.M. Pylypenko State Institution “Romodanov Neurosurgery Institute of the National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine; Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
  • M.V. Bondar Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
  • O.Yu. Khomenko State Institution “O.O. Shalimov National Institute of Surgery and Transplantology” of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.18.2.2022.1471

Keywords:

acute bowel obstruction, ERAS protocol, perioperative management, rapid postoperative recovery

Abstract

The article presents the main directions for the prevention of acute bowel obstruction in patients after surgery. The basis of prevention is the principle of rapid postoperative recovery accor­ding to the widely used ERAS program (Enhanced Recovery after Surgery). The basic principles of the ERAS program correspond to three periods: preoperative, intraoperative and postoperative. In the pre­operative period, much attention is paid to the preparation of a patient and the correction of conditions that may lead to prolonged recovery after surgery (eg, anaemia, etc). Intraoperatively, it is re­commended to apply combined principles of anaesthesia to reduce the use of opiates and anaesthetics, based on regional and local me­thods of anaesthesia. At this stage, thorough monitoring is important to prevent intraoperative hypo- and hypervolemia. Early activation of patients plays a key role in the postoperative period. Therefore, proper analgesia, prevention of nausea and vomiting will also lead to early mobilization and early enteral nutrition of the patients.

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References

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Published

2022-05-19

How to Cite

Pylypenko, M., Bondar, M., & Khomenko, O. (2022). Perioperative management according to the principles of the program of rapid postoperative recovery (ERAS) in the prevention of acute bowel obstruction (a clinical lecture). EMERGENCY MEDICINE, 18(2), 34–38. https://doi.org/10.22141/2224-0586.18.2.2022.1471

Issue

Section

Lecture

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