J.Jpn. Surg. Soc.. 116(4): 236-242, 2015

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Feature topic

ANESTHESIA MANAGEMENT FOR ENHANCED RECOVERY AFTER SURGERY

In programs to enhance patient recovery after surgery, anesthesiologists play an important role. In conventional management, patients managed with the "starvation, stress, and drowning" regimen experience delays in the recovery process. In contrast, anesthesiologists in the current perioperative management scenario reduce the fasting period, maintain sufficient depth of anesthesia, and administer appropriate infusion levels. In particular, three major factors inhibiting postoperative recovery are known to be pain, gastrointestinal dysfunction, and immobility. To prevent these, anesthesiologists should emphasize pain control and manage patient care with the goals of early oral intake and early mobility. It is important for surgeons and anesthesiologists to share information and techniques to promote postoperative recovery. Multidisciplinary cooperation can be expected to have synergistic effects leading to improved safety, better treatment outcomes, and smooth perioperative management.

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