Anesthesia in colorectal surgery
DOI:
https://doi.org/10.30445/rear.v16i11.1214Keywords:
laparoscopy, free opioids, colorectal surgeryAbstract
SUMMARY
Colon surgery in our Hospital is part of the ERAS Program. Multimodal anesthesia with minimal opioids is used, accompanied by TAP (transverse abdominal plane block) for laparoscopic surgery.
In order to achieve early mobilization of the patient, the tendency is to use thoracic epidural anesthesia as little as possible, replacing it with intrathecal morphine not > 100 micrograms in laparotomy surgery.
The stay in resuscitation is 2-4 hours, testing tolerance with comfort water (30 ml), use of respiratory incentive and removal of diuresis tube before being transferred to the ward.
References
- Guidelines for perioperative care in elective colonic surgery:enhanced recovery after surgery (ERAS) society recommendations. U.O. Gustafsson, M.J. Scott et als. WJS 2012.
- Guidelines for perioperative care in elective rectal/pelvis surgery: enhanced recovery after surgery ( ERAS) society recommendations. J. Nygren, J. Thacker, F. Carli et als. WJS 2012.
- Kehlet H. Fast-track colonic surgery: status and prospectives. Recent Results Cancer Res 2005;165:8-13.
- Wind J, Polle SW, Fung Kon Jin PHP, Dejong CHC, Von Myenfeldt MF, Ubbink DT, Gouma DJ, Bemelman WA. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg 2006;93:800-809.
- Eskicioglu C, Forbes SS, Aarts MA, Okrainec A, McLeod RS. Enhanced Recovery after Surgery (ERAS) Programs for Patients Having Colorectal Surgery: A Meta-analysis of Randomized Trials. J Gastrointest Surg 2009;13:2321–2329.
- Gil-Egea MJ, Martínez MA, Sánchez M, Bonilla M, Lasso C, Trillo L, Herms R, Marín M, Pera M, Grande L. Rehabilitación multimodal en cirugía colorectal elective. Elaboración de una vía clínica y resultados iniciales. Cir Esp 2008;84(5):251-5.
- Vía clínica de recuperación intensificada en cirugía abdominal. 2015.
- Via clínica de recuperación intensificada de cirugía del adulto. Ministerio de Sanidad. 2021
- GOMEZ CANDELA, Carmen et al. Inmunonutrición del paciente quirúrgico en los procedimientos fast-track: revisión de la evidencia y algoritmo adaptado. Nutr. Hosp. [online]. 2021, vol.38, n.3 [citado 2023-03-06], pp.601-621.
- Preparación preoperatoria en cirugía colorrectal. Preparación mecánica en cirugía colorrectal. AECP.
- Preoperative oral carbohydrate load versus placebo in major elective abdominal surgery ( PROCY): a randomized, placebo, controlled, multicenter, phase III trial.Ann Surg 2018;267:623.
- Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med 2015; 372:1324 .
- Van der Pas MH, Haglind E, Cuesta MA, et al. Laparoscopic versus open surgery for rectal cáncer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol 2013; 14:210.
- Cirugía colorrectal. Guías clínicas de la Asociación española de cirujanos. 2012
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Electrónica AnestesiaR
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Envío y derechos de autor