Anaes Vivas · General surgery anaesthesia
Elective general surgery and ERAS: anaesthetic contribution — viva
Structured oral examination station for elective-generalsurgery-er-as.
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Target exams
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Prompt
ERAS patient arrives PACU cold, deeply sedated on high opioid PCA, nauseated, 3.5 L positive balance.
Opening
State the one-line answer first: ERAS is a multidisciplinary pathway, and the anaesthetist owns analgesia, PONV, normothermia, and fluids (taught).[4]
References4ShowHide
- [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