Enhanced Recovery Programs in Outpatient Surgery

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...

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Bibliographic Details
Published inAnesthesiology clinics Vol. 37; no. 2; p. 225
Main Authors Afonso, Anoushka M, Tokita, Hanae K, McCormick, Patrick J, Twersky, Rebecca S
Format Journal Article
LanguageEnglish
Published United States 01.06.2019
Subjects
Ambulatory surgery
Enhanced recovery programs
Opioid-sparing pain management
Quality of recovery
Enhanced recovery after surgery
Postdischarge nausea and vomiting
Peripheral nerve blocks
Multimodal analgesia
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Summary: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.
ISSN:1932-2275
DOI:10.1016/j.anclin.2019.01.007