Implementation of ERAS protocols in bariatric surgery, including preoperative carbohydrate loading, opioid-sparing anesthesia, and early mobilization, optimizes perioperative care and recovery.
May support ERAS in bariatric surgery; leaves open confirmation by RCTs before practice change.
Guidelines for enhanced recovery after surgery (ERAS) are widely used and their efficiency was clearly demonstrated by numerous studies. Number of publications on this topic in bariatric surgery is significantly lower compared with other fields of surgery. However, the data accumulated allow to compose recommendations based on studies with high level of evidence. Authors review existing methods of enhanced recovery in their implementation into bariatric surgery. Enhanced recovery methods can be used to optimize all stages of perioperative care and include data on preoperative preparation, maintenance of electrolyte balance, prevention of postoperative nausea and vomiting, sufficient analgesia and safe discharge form hospital. Suggested guidelines for bariatric surgery are implied to be used by a multidisciplinary team.
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Khatsiev et al. (2014) studied this question.
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