Prehabilitation to enhance perioperative care

Francesco Carli; Celena Scheede-Bergdahl

doi:10.1016/j.anclin.2014.11.002

Prehabilitation to enhance perioperative care

Anesthesiol Clin. 2015 Mar;33(1):17-33. doi: 10.1016/j.anclin.2014.11.002. Epub 2015 Jan 9.

Authors

Francesco Carli¹, Celena Scheede-Bergdahl²

Affiliations

¹ Department of Anesthesia, McGill University, Montreal, Quebec, Canada. Electronic address: franco.carli@mcgill.ca.
² Department of Anesthesia, McGill University, Montreal, Quebec, Canada; Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada.

PMID: 25701926
DOI: 10.1016/j.anclin.2014.11.002

Abstract

Patients who are elderly, malnourished, anxious, and have a low physical function before surgery are likely to have suboptimal recovery from cancer surgery. A multimodal prehabilitation program is proposed, consisting of exercise training and nutritional and psychological support, which increases physiologic reserve before the stress of surgery. This interventional approach seems to improve ability to undergo the stress of surgery and faster recovery. The integration of exercise, adequate nutrition, and psychosocial components, with medical and pharmacologic optimization in the presurgical period, deserves to receive more attention by clinicians to elucidate the most effective interventions.

Keywords: Cancer; Elderly; Exercise; Nutrition; Prehabilitation; Surgery.

Publication types

Review

MeSH terms

Aged
Animals
Exercise
Geriatric Assessment / methods*
Humans
Nutrition Therapy / methods
Nutritional Physiological Phenomena
Perioperative Care / methods*
Postoperative Complications / prevention & control*
Rats
Stress, Physiological
Stress, Psychological / prevention & control