Enhanced Recovery Recommendations

The American Society for Enhanced Recovery releases a joint consensus on definition, management and prevention of postoperative gastrointestinal dysfunction.

It encapsulates many known protocols like low/no opioids, no NG tubes, minimally invasive surgery, Alvimopan where opioids are used, nausea/vomiting prophylactix, euvolemia and normal electrolyte balance, immediate eating and drinking, use of a combined isosmotic mechanical bowel preparation with oral antibiotics, and consider coffee/gum chewing.

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