Why the study?
Do ERAS protocols optimize the perioperative period in obese patients undergoing bariatric surgery?
Do ERAS protocols optimize the perioperative period in obese patients undergoing bariatric surgery?
ERAS protocols can be successfully applied in bariatric surgery to optimize perioperative care and minimize opioid use.
Supports Ukrainian ERAS recommendations for bariatric perioperative care; extends international protocols to national guidelines.
Purpose of review. The aim of the work is to collectin a single whole the disparate information devoted to certain aspects of ERAS methods application for the creation of the project of Ukrainian-language recommendations on optimization of perioperative period in the bariatric patients.Recent findings. The protocols for accelerated postoperative rehabilitation (Enhanced Recovery After Surgery – ERAS) are widely used in various surgical branches, fundamentally changing the approach to the surgical operation of surgical patients.The ERAS protocols actually cover extended pre-, intra- and postoperative periods.The article provides an overview of current data on methods accelerated rehabilitation used in bariatric surgery.The methods of accelerated rehabilitation can be used to optimize all stages of perioperative management of the patient and include data on the preparation for the operation, support of the electrolyte balance, prevention of postoperative nausea and vomiting, adequate analgesia, and also determine the criteria for the safe discharge of the patient from the hospital.Summary. ERAS protocols are successfully used in obese patients after bariatric surgery, and the principles of multimodal analgesia minimize the need for opioids. The principles of ERAS have already proved themselves in many clinics and should be reflected in the Nation al Clinical Recommendations for Bariatric Surgery.
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Черний et al. (2018) studied this question.
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