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January 1, 2012Journal of Anaesthesiology Clinical PharmacologyOpen Access

Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1)

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Key result

A multimodal approach to perioperative care, including enhanced recovery programs, optimal fluid therapy, and pain management, markedly reduces surgical stress and enhances recovery after major colorectal surgery.

Population

Colorectal surgical patients

Design

Review

Authors

SPSantosh PatelJLJanM LutzUPU. Panchagnula

Discussion

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Overview

Supports multimodal perioperative care in colorectal surgery; leaves open confirmation by prospective RCTs.

Structured PICO

P
Population
Colorectal surgical patients
I
Intervention
Perioperative management including scoring systems, functional capacity assessment, fluid therapy, and multimodal pain management

Anesthesiologists can significantly contribute to enhanced recovery and improved quality of perioperative care in colorectal surgery through fundamental principles like fluid therapy and multimodal pain management.

Limitations

  • Lack of colorectal surgery specific education and research within the anesthesia specialty
  • Need for larger studies comparing analgesic regimens for laparoscopic colorectal surgery

Cite This Study

Patel et al. (2012) conducted a review in Colorectal surgery. Perioperative management and anesthesia was evaluated. A multimodal approach to perioperative care, including enhanced recovery programs, optimal fluid therapy, and pain management, markedly reduces surgical stress and enhances recovery after major colorectal surgery.

synapsesocial.com/papers/6a8adfde0ca85c7e33dec94bhttps://doi.org/10.4103/0970-9185.94831
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management of patients in fast track surgery2001 · 800 citations
  2. 2Preincisional Versus Postincisional Administration of Parecoxib in Colorectal Surgery: Effect on Postoperative Pain Control and Cytokine Response. A Randomized Clinical Trial2010 · 34 citations
  3. 3Randomized clinical trial of epidural, spinal or patient-controlled analgesia for patients undergoing laparoscopic colorectal surgery2011 · 278 citations
  4. 4Recovery characteristics and post‐operative delirium after long‐duration laparoscope‐assisted surgery in elderly patients: propofol‐based vs. sevoflurane‐based anesthesia2004 · 73 citations
  5. 5The effects of incisional bupivacaine on postoperative narcotic requirements, oxygen saturation and length of stay in the post‐anesthesia care unit1990 · 63 citations