Modifying the Stress Response - Perioperative Considerations and Controversies
Leigh J S Kelliher1, Michael Scott2
1Department of Anaesthetics, Royal Surrey County Hospital NHS Foundation Trust, Egerton Road, Guildford, Surrey GU2 7AS, UK.
Anesthesiology Clinics
|March 3, 2022
Summary
Optimizing surgical stress response can improve patient outcomes. The Enhanced Recovery After Surgery (ERAS) program provides guidelines for perioperative care, leading to better results.
Area of Science:
- Perioperative Medicine
- Surgical Stress Response
- Clinical Practice Guidelines
Background:
- Modifying the surgical stress response is a long-standing concept aimed at improving perioperative outcomes.
- Various techniques have been explored, but success has been inconsistent.
- Defining and measuring the success of stress response modification remains debated.
Purpose of the Study:
- To explore the concept of modifying the surgical stress response for enhanced perioperative outcomes.
- To highlight the role of the Enhanced Recovery After Surgery (ERAS) movement in this field.
Main Methods:
- Review of existing literature and techniques for modifying surgical stress response.
- Examination of the principles behind the Enhanced Recovery After Surgery (ERAS) program.
Main Results:
- The Enhanced Recovery After Surgery (ERAS) movement has developed evidence-based guidelines for perioperative care.
- These guidelines have been applied across multiple surgical specialties.
- Implementation of ERAS protocols has led to significant improvements in patient outcomes.
Conclusions:
- Modification of the surgical stress response is a key component of modern perioperative care.
- The ERAS program offers a structured approach to improving surgical outcomes.
- Further research and consensus are needed on measurement and clinical translation of stress response modification.
Keywords:
AnesthesiaEnhanced recovery after surgeryMetabolic response to surgeryModification of the stress responsePerioperative careStress response to surgeryMore Related Videos
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