Key result
Anesthesia management aimed at minimizing surgical invasion, including multimodal analgesia and perioperative care, reduces postoperative inflammatory cytokines and hastens recovery.
Why the study?
Does appropriate anesthesia management improve postoperative recovery and reduce surgical invasion in surgical patients?
Does appropriate anesthesia management improve postoperative recovery and reduce surgical invasion in surgical patients?
Appropriate anesthesia management, including analgesia, fluid management, and temperature control, reduces surgical invasion and inflammatory responses, thereby hastening postoperative recovery.
Hypothesis-generating for multimodal anesthesia; randomized trials needed before practice change.
Postoperative recovery is inhibited by various factors induced by surgical invasion, such as abnormal sugar and protein metabolism, pain, digestive tract dysfunction, and immobility. These inhibition factors prevent early ambulation and oral ingestion after surgery. Shortened duration of hospitalization and reduced incidence of complications, which are the outcomes of measures used for hastening postoperative recovery, are considered to be due to the delay in early ambulation and oral ingestion. Among measures for hastening postoperative recovery, a recommended measure for surgical invasion is to minimize invasion through appropriate anesthesia management. For example, anesthesia management includes mitigation of invasive reaction using analgesics, appropriate infusion management, body temperature management, and management of carbohydrate load before and during surgery. Implementation of such measures for hastening postoperative recovery has been shown to reduce postoperative levels of inflammatory cytokines compared to those in conventional management and shorten the duration of hospitalization. In order to hasten patients' postoperative recovery, it is considered essential to reduce surgical invasion more effectively by combining anesthesia management measures with improvements in perioperative surgical procedures and patient care.
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Taniguchi et al. (2016) conducted a review in Surgical invasion and postoperative recovery. Anesthesia management (multimodal analgesia, fluid management, carbohydrate loading) vs. Conventional management was evaluated on Postoperative recovery and inflammatory cytokine levels. Anesthesia management aimed at minimizing surgical invasion, including multimodal analgesia and perioperative care, reduces postoperative inflammatory cytokines and hastens recovery.
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