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Enhanced Recovery Programs in Outpatient Surgery.

Authors
  • Afonso, Anoushka M1
  • Tokita, Hanae K2
  • McCormick, Patrick J3
  • Twersky, Rebecca S4
  • 1 Enhanced Recovery Programs (ERP), Department of Anesthesiology & Critical Care Medicine, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, M-301, New York, NY 10065, USA. Electronic address: [email protected]
  • 2 Department of Anesthesiology & Critical Care, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
  • 3 Department of Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
  • 4 Department of Anesthesiology & Critical Care Medicine, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1133 York Avenue, Suite 312, New York, NY 10065, USA.
Type
Published Article
Journal
Anesthesiology clinics
Publication Date
Jun 01, 2019
Volume
37
Issue
2
Pages
225–238
Identifiers
DOI: 10.1016/j.anclin.2019.01.007
PMID: 31047126
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Although enhanced recovery pathways were initially implemented in inpatients, their principles are relevant in the ambulatory setting. Opioid minimization and addressing pain and nausea through multimodal analgesia, regional anesthesia, and robust preoperative education programs are integral to the success of ambulatory enhanced recovery programs. Rather than measurements of length of stay as in traditional inpatient programs, the focus of enhanced recovery programs in ambulatory surgery should be on improved quality of recovery, pain management, and early ambulation. Copyright © 2019 Elsevier Inc. All rights reserved.

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