Enhanced perioperative care in emergency general surgery: the WSES position paper
Marco Ceresoli, Marco Braga, Nicola Zanini, Fikri M. Abu‐Zidan, Dario Parini, Thomas Länger, Massimo Sartelli, Dimitrios Damaskos, Walter L. Biffl, Francesco Amico, Luca Ansaloni, Zsolt J. Balogh, Luigi Bonavina, Ian Civil, Enrico Cicuttin, Mircéa Chirica, Yunfeng Cui, Belinda De Simone, Isidoro Di Carlo, Andreas Fette, Giuseppe Foti, Michele Fogliata, Gustavo Pereira Fraga, Paola Fugazzola, Joseph M. Galante, Solomon Gurmu Beka, Andreas Hecker, Johannes Jeekel, Andrew W. Kirkpatrick, Kaoru Koike, Ari Leppäniemi, İngo Marzi, Ernest E. Moore, Edoardo Picetti, Emmanouil Pikoulis, Michele Pisano, Mauro Podda, Boris Sakakushev, Vishal G. Shelat, Edward Tan, Giovanni Domenico Tebala, George C. Velmahos, Dieter Weber, Vanni Agnoletti, Yoram Kluger, Gian Luca Baiocchi, Fausto Catena, Federico Coccolini
Abstract
Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients' outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.