Imperial College London
Alternate

Professor the Lord Darzi of Denham PC KBE FRS FMedSci HonFREng

Faculty of Medicine, Department of Surgery & Cancer

Co-Director of the IGHI, Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3312 1310a.darzi

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Abeles:2017:10.4240/wjgs.v9.i2.37,
author = {Abeles, A and Kwasnicki, RM and Darzi, A},
doi = {10.4240/wjgs.v9.i2.37},
journal = {World Journal of Gastrointestinal Surgery},
pages = {37--45},
title = {Enhanced recovery after surgery: Current research insights and future direction.},
url = {http://dx.doi.org/10.4240/wjgs.v9.i2.37},
volume = {9},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Since the concept of enhanced recovery after surgery (ERAS) was introduced in the late 1990s the idea of implementing specific interventions throughout the peri-operative period to improve patient recovery has been proven to be beneficial. Minimally invasive surgery is an integral component to ERAS and has dramatically improved post-operative outcomes. ERAS can be applicable to all surgical specialties with the core generic principles used together with added specialty specific interventions to allow for a comprehensive protocol, leading to improved clinical outcomes. Diffusion of ERAS into mainstream practice has been hindered due to minimal evidence to support individual facets and lack of method for monitoring and encouraging compliance. No single outcome measure fully captures recovery after surgery, rather multiple measures are necessary at each stage. More recently the pre-operative period has been the target of a number of strategies to improve clinical outcomes, described as prehabilitation. Innovation of technology in the surgical setting is also providing opportunities to overcome the challenges within ERAS, e.g., the use of wearable activity monitors to record information and provide feedback and motivation to patients peri-operatively. Both modernising ERAS and providing evidence for key strategies across specialties will ultimately lead to better, more reliable patient outcomes.
AU  - Abeles,A
AU  - Kwasnicki,RM
AU  - Darzi,A
DO  - 10.4240/wjgs.v9.i2.37
EP  - 45
PY  - 2017///
SN  - 1948-9366
SP  - 37
TI  - Enhanced recovery after surgery: Current research insights and future direction.
T2  - World Journal of Gastrointestinal Surgery
UR  - http://dx.doi.org/10.4240/wjgs.v9.i2.37
UR  - http://www.ncbi.nlm.nih.gov/pubmed/28289508
UR  - http://hdl.handle.net/10044/1/45832
VL  - 9
ER  -
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