Main description:

The ERAS (R) Society Handbook for Obstetrics & Gynecology covers all aspects of enhanced recovery care for disciplines of general gynecology, gynecologic oncology, urogynecology and obstetrical surgery. Written by renowned experts in the field, chapters discuss foundational knowledge on ERAS and provide specific worked examples, ERAS order sets, and practical implementation tools. This book is an indispensable resource to researchers interested in ERAS, but it is also ideal for anesthesiologists, gynecologists and obstetricians interested in initiating an ERAS program.

Enhanced Recovery After Surgery (ERAS) is a global surgical quality improvement initiative that originated in colorectal surgery and has now spread to numerous other disciplines, including gynecology (benign and malignant) and obstetrics (caesarean delivery). ERAS is associated with improvements in clinical outcomes (reduction in length of hospital stay, complications, readmissions), cost savings for the healthcare system, and patient satisfaction, hence the addition of this comprehensive resource on the topics is a welcomed addition to the available literature.

Contents:

SECTION I. PREOPERATIVE 1. Prehabilitation 2. Preoperative optimization 3. Updates on bowel preparation 4. Preoperative fasting and carbohydrate loading

SECTION II. INTRAOPERATIVE 5. Anesthetic protocol 6. Surgical site infection prevention 7. Avoidance of drains and tubes 8. Maintenance of normothermia 9. Fluid and hemodynamic therapy 10. Postoperative nausea and vomiting: A pragmatic program

SECTION III. POSTOPERATIVE 11. Postoperative opioid sparing analgesia 12. Impact of early oral intake 13. Venous thromboembolic prophylaxis 14. Early mobilization and impact on recovery 15. Patient reported outcomes (PROs)

SECTION IV. ERAS IMPLEMENTATION 16. Creating an ERAS team and order set 17. Audit, compliance, and research design

SECTION V. DISCIPLINE SPECIFIC CONSIDERATIONS AND OUTCOMES 18. Discipline specific considerations and outcomes: Obstetrical surgery 19. Discipline specific considerations and outcomes: Minimally invasive surgery 20. ERAS Gynecologic oncology 21. Urogynecology