ERAS protocol in patients undergoing elective surgery

Abstract

The protocol ERAS (Enhanced Recovery After Surgery), is a strategy that combines perioperative management based on scientific evidence that work synergistically to enhance functional recovery of patients after surgery, minimizing the inevitable response to surgical stress to which they are subjected patients.

Objective: To compare the influence of multimodal management with traditional management in patients undergoing elective surgery in the General Surgery Department of the Hospital "Dr. José Ignacio Baldo ".

Method: This was a descriptive study, comparative, longitudinal, prospective patients undergoing elective surgeries such as  hernia, laparoscopic bladder, abdominal and vaginal hysterectomy, thyroidectomy, between July and September 2012. The total was comprised of 35 patients divided into two groups: a study group to which you applied the ERAS protocol consisting of 16 patients and a control group traditionally handled during the pre and postoperative constituted by 19 patients.

Results: Gastric residual volume in the preoperative quantified in the study group was between 9cc ± 8 and ± 9 14cc con- trol. Significant changes were observed in blood glucose increased in both groups to compare the means of glycemia in the immediate postoperative period showed significant differences between them (p = 0.042) in favor of the group under clinical study, as the increase in the blood glucose case was 2.6 times less than in the control group. Similarly, the study group had less pain and shorter hospital stay than the control group.