Preoperative Preparations for Enhanced Recovery After Surgery Programs: A Role for Prehabilitation

Gabriele Baldini; Vanessa Ferreira; Francesco Carli

doi:10.1016/j.suc.2018.07.004

Preoperative Preparations for Enhanced Recovery After Surgery Programs: A Role for Prehabilitation

Surg Clin North Am. 2018 Dec;98(6):1149-1169. doi: 10.1016/j.suc.2018.07.004. Epub 2018 Aug 24.

Authors

Gabriele Baldini¹, Vanessa Ferreira², Francesco Carli³

Affiliations

¹ Department of Anesthesia, McGill University Health Centre, 1650 Cedar Avenue, Montreal, Québec H3G 1A4, Canada.
² Department of Anesthesia, McGill University Health Centre, 1650 Cedar Avenue, Montreal, Québec H3G 1A4, Canada; Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, Québec H2W 1S4, Canada.
³ Department of Anesthesia, McGill University Health Centre, 1650 Cedar Avenue, Montreal, Québec H3G 1A4, Canada. Electronic address: franco.carli@mcgill.ca.

PMID: 30390849
DOI: 10.1016/j.suc.2018.07.004

Abstract

Preoperative risk assessment is valuable only if subsequent targeted optimization of patient care is allowed. Early assessment of high-risk surgical patients is essential to facilitate appropriate optimization. Preoperative assessment and optimization should not be exclusively focused on patients' comorbidities, but also include nutritional assessment, functional capacity, and promote healthy life style habits that affect surgical outcomes (eg, smoking cessation); it requires a multidisciplinary approach.

Keywords: ERAS; Prehabilitation; Preoperative assessment; Preoperative optimization.

Publication types

Review

MeSH terms

Humans
Postoperative Complications / etiology
Postoperative Complications / prevention & control*
Preoperative Care*
Recovery of Function*
Risk Assessment