
Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update
2022; Springer Science+Business Media; Volume: 46; Issue: 4 Linguagem: Inglês
10.1007/s00268-021-06394-9
ISSN1432-2323
AutoresErik Stenberg, Luiz Fernando dos Reis Falcão, Mary O’Kane, Ronald S. L. Liem, Dimitri J. Pournaras, Paulina Salminen, Richard D. Urman, Anupama Wadhwa, Ulf Gustafsson, Anders Thorell,
Tópico(s)Cardiac, Anesthesia and Surgical Outcomes
ResumoAbstract Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta‐analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence‐based practices may need to be extrapolated from other surgeries. Conclusion A comprehensive, updated evidence‐based consensus was reached and is presented in this review by the ERAS® Society.
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