Anaes SAQs · General surgery anaesthesia
Elective general surgery and ERAS: anaesthetic contribution
Final-examination SAQ for elective-generalsurgery-er-as.
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ANZCAFRCAEDAICABAFCAI
Prompt
As the anaesthetist on an ERAS colorectal pathway, list your key intraoperative and immediate postoperative contributions.
Model answer
Intraop (5). Multimodal analgesia, PONV prophylaxis, normothermia, thoughtful fluids, antibiotics timing, lung-protective vent (taught ERAS pillars).[4][5]
Risk (5). RCRI/functional capacity; avoid POISE-style naive beta-blockade.[1][2]
PACU (5). Warm, reversed, comfortable, early sip/mobilise enabled (taught handover).[4]
References5ShowHide
- [1]Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 1999.PMID 10477528
- [2]Devereaux PJ, Yang H, Yusuf S, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial). Lancet, 2008.PMID 18479744
- [3]Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2). Lancet, 2010.PMID 20554319
- [4]Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018. World J Surg, 2019.PMID 30426190
- [5]Apfel CC, Laara E, Koivuranta M, et al. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology, 1999.PMID 10485781