Enhanced perioperative care in emergency general surgery: the WSES position paper,World Journal of Emergency Surgery

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Enhanced perioperative care in emergency general surgery: the WSES position paper
World Journal of Emergency Surgery ( IF 6.0 ) Pub Date : 2023-10-06 , DOI: 10.1186/s13017-023-00519-2
Marco Ceresoli _{1,

2} , Marco Braga _{1,

2} , Nicola Zanini ₃ , Fikri M Abu-Zidan ₄ , Dario Parini ₅ , Thomas Langer _{1,

6} , Massimo Sartelli ₇ , Dimitrios Damaskos ₈ , Walter L Biffl ₉ , Francesco Amico ₁₀ , Luca Ansaloni ₁₁ , Zsolt J Balogh ₁₂ , Luigi Bonavina ₁₃ , Ian Civil ₁₄ , Enrico Cicuttin ₁₁ , Mircea Chirica ₁₅ , Yunfeng Cui ₁₆ , Belinda De Simone ₁₇ , Isidoro Di Carlo ₁₈ , Andreas Fette ₁₉ , Giuseppe Foti _{1,

20} , Michele Fogliata _{1,

2} , Gustavo P Fraga ₂₁ , Paola Fugazzola ₁₁ , Joseph M Galante ₂₂ , Solomon Gurmu Beka ₂₃ , Andreas Hecker ₂₄ , Johannes Jeekel ₂₅ , Andrew W Kirkpatrick ₂₆ , Kaoru Koike ₂₇ , Ari Leppäniemi _{28,

29} , Ingo Marzi ₃₀ , Ernest E Moore ₃₁ , Edoardo Picetti ₃₂ , Emmanouil Pikoulis ₃₃ , Michele Pisano ₃₄ , Mauro Podda ₃₅ , Boris E Sakakushev ₃₆ , Vishal G Shelat _{37,

38} , Edward Tan ₃₉ , Giovanni D Tebala ₄₀ , George Velmahos ₄₁ , Dieter G Weber ₄₂ , Vanni Agnoletti ₄₃ , Yoram Kluger ₄₄ , Gianluca Baiocchi ₄₅ , Fausto Catena ₃ , Federico Coccolini ₄₆

Affiliation

School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
General and Emergency Surgery Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900, Monza, Italy.
General Surgery Department, Bufalini Hospital, Cesena, Italy.
The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
General Surgery Department - Santa Maria Della Misericordia Hospital, Rovigo, Italy.
Department of Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
General Surgery, Macerata Hospital, Macerata, Italy.
Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
John Hunter Hospital Trauma Service and School of Medicine and Public Health, The University of Newcastle, Newcastle, AU, Australia.
General Surgery, Fondazione IRCCS San Matteo, Pavia, Italy.
Department of Traumatology, John Hunter Hospital and University of Newcastle, Hunter Medical Research Institute, Newcastle, NSW, Australia.
Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
University of Auckland, Auckland, New Zealand.
Department of Digestive Surgery, CHU Grenoble Alpes, Grenoble, France.
Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
Unit of Emergency and Trauma Surgery, Villeneuve St Georges Academic Hospital, Villeneuve St Georges, France.
Department of Surgical Sciences and Advanced Technologies, General Surgery Cannizzaro Hospital, University of Catania, Catania, Italy.
PS_SS Weissach im Tal, Weissach im Tal, Germany.
Department of Critical Care and Anesthesia, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.
Division of Trauma Surgery, School of Medical Sciences (FCM), University of Campinas (Unicamp), Campinas, Brazil.
University of California, Davis, Sacramento, CA, USA.
University of Otago, Dunebin, New Zealand.
Department of General and Thoracic Surgery, University Hospital of Giessen, Gießen, Germany.
Erasmus MC University, Rotterdam, The Netherlands.
General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Andrei Litvin, CEO AI Medica Hospital Center, Kaliningrad, Russia.
Department of Trauma, Hand, and Reconstructive Surgery, Goethe University, Frankfurt University Hospital, Frankfurt am Main, Germany.
Director of Surgery Research, Ernest E. Moore Shock Trauma Center, Distinguished Professor of Surgery, University of Colorado, Denver, CO, USA.
Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
Third Department of Surgery, Attikon University Hospital, Athene, Greece.
General Surgery, ASST Papa Giovanni XXIII, Bergamo, Italy.
Department of Surgical Science, University of Cagliari, Cagliari, Italy.
RIMU Plovdiv/UMHAT St George Plovdiv, Plovdiv, Bulgaria.
Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Former Chair Department of Emergency Medicine, HEMS Physician, Radboud University Medical Center, Nijmegen, The Netherlands.
Digestive and Emergency Surgery Department, Azienda Ospedaliera S.Maria, Terni, Italy.
Harvard Medical School - Massachusetts General Hospital, Boston, USA.
Department of General Surgery, Royal Perth Hospital, Head of Service and Director of Trauma, Royal Perth Hospital, The University of Western Australia, Perth, Australia.
Anesthesia and Critical Care Department, Bufalini Hospital, Cesena, Italy.
Department of General Surgery, The Rambam Academic Hospital, Haifa, Israel.
General Surgery, University of Brescia, ASST Cremona, Cremona, Italy.
Emergency Surgery, University of Pisa, Pisa, Italy.

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.

中文翻译：

加强急诊普通外科的围手术期护理：WSES 立场文件

强化围手术期护理方案成为择期手术的护理标准，显着改善患者的预后。强化围手术期护理方案的关键要素是针对患者的多模式和跨学科方法，重点是减少手术压力和改善围手术期康复的整体方法。加强急诊普外科的围手术期护理仍然是一个有争议的话题，几乎没有可用的证据。本立场文件阐述了急诊手术患者围手术期护理的现有证据，重点关注术前、术中和术后阶段的每项围手术期干预。WSES 协作小组针对每个项目提出并批准了一份声明。

更新日期：2023-10-07

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