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Enhanced recovery after surgery

Guest Editors:
Mohamed R. El Tahan: Mansoura University, Egypt & Imam Abdulrahman Bin Faisal University, Saudi Arabia
Manuel Ángel Gómez-Ríos: Complejo Hospitalario Universitario de A Coruña, Spain
Akhilesh Pahade: SRMS Institute of Medical Sciences, India



BMC Anesthesiology is presenting our Collection on enhanced recovery after surgery. Enhanced recovery after surgery (ERAS) programmes with minimally invasive surgery and multimodal analgesia have become the paradigm in contemporary surgical practice to reduce inflammation, stress response, and acute and chronic postoperative pain. Implementing these strategies has significantly reduced postoperative complications, improved functional recovery, shortened the length of hospital stay and health costs, and expedited return to normal life activities. These multimodal and multidisciplinary approaches have gradually improved outcomes after surgery and perioperative care. Nevertheless, there is still a long way to go. 

Meet the Guest Editors

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Mohamed R. El Tahan: Mansoura University, Egypt & Imam Abdulrahman Bin Faisal University, Saudi Arabia

Mohamed El Tahan is a Professor in cardiothoracic anesthesia and surgical intensive care at Mansoura University, Egypt, and an Associate Professor at the Imam Abdulrahman Bin Faisal University, Saudi Arabia. His research interests include mechanical ventilation, haemodynamic monitoring, fast-track cardiac anaesthesia, airway management, aortic surgery, thoracic and obstetric anaesthesia, and gender balance. Prof. El Tahan is a member of the European Association of Cardiothoracic Anaesthesia and Intensive Care (EACTAIC) Board of Directors and Thoracic Committee. He serves as a member in the Board of Directors and the Thoracic Committee of the Egyptian Cardiothoracic Anaesthesia Society (ECTAS). Prof. El Tahan is a member of the Editorial Board in BMC Anesthesiology.

Manuel Ángel Gómez-Ríos: Complejo Hospitalario Universitario de A Coruña, Spain

Dr. Manuel Ángel Gómez-Ríos MD, PhD, earned his Degree in Medicine and Surgery at the Faculty of Medicine of the University of Santiago de Compostela. He is a Consultant Anesthesiologist of Spain, author of several publications indexed on Pubmed, member of the Editorial Board and peer-reviewer of several international journals. His research experience covers 15 years in tertiary care centers. His 100 peer-reviewed international publications covered many areas of clinical research. He is head of the research group "Anesthesiology and pain management". His main research interests focus on clinical trials, difficult airway, clinical monitoring, postoperative acute pain, and perioperative medicine.

Akhilesh Pahade: SRMS Institute of Medical Sciences, India

Dr. Akhilesh Pahade is an Assistant Professor at the SRMS Institute of Medical Sciences, India. His areas of interest include cardiac-thoracic anesthesia and onco-anesthesia (robotic surgeries/ HIPEC), obstetric anesthesia, and ERAS. He gained experience in over 10 years' work in reputed institutions like SGPGI (Lucknow), Fortis Hospital (New Delhi), and Rajiv Gandhi Cancer Institute and Research Center (New Delhi).

About the collection

Surgical patients are increasingly frail and undergo procedures of substantial complexity. Maintaining the targets of effectiveness, safety, quality of care, and cost-effectiveness is challenging for healthcare workers, health systems, and insurers. Enhanced recovery after surgery (ERAS) programmes with minimally invasive surgery and multimodal analgesia have become the paradigm in contemporary surgical practice to reduce inflammation, stress response, and acute and chronic postoperative pain. Implementing these strategies has significantly reduced postoperative complications, improved functional recovery, shortened the length of hospital stay and health costs, and expedited return to normal life activities. These multimodal and multidisciplinary approaches have gradually improved outcomes after surgery and perioperative care. Nevertheless, there is still a long way to go. 

To expand knowledge and share new insights related to Perioperative Medicine, we have published a BMC Anesthesiology collection called “Enhanced Recovery After Surgery”. 

We present submissions from all aspects of this developing field, including, but not limited to: 
•    Preoperative patient communication and preparation
•    Goal directed fluid therapy
•    Transfusion triggers for blood/blood products or role of transfusion in eras
•    Ambulation and precautions

Image credit: © LumineImages / Getty Images / iStock

  1. Transfer to the ICU is common following non-cardiac surgeries, including radical colorectal cancer (CRC) resection. Understanding the judicious utilization of costly ICU medical resources and supportive postop...

    Authors: Lu Wang, Yanan Wu, Liqin Deng, Xiaoxia Tian and Junyang Ma
    Citation: BMC Anesthesiology 2024 24:222
  2. Awake extubation and deep extubation are commonly used anesthesia techniques. In this study, the safety of propofol-assisted deep extubation in the dental treatment of children was assessed.

    Authors: Xiang Zhang, Xiao-Dong Wang, Wei Cui, Shun-Cai Gao, Xu-Dong Yang and Bin Xia
    Citation: BMC Anesthesiology 2024 24:213
  3. Intra-operative anaesthesia management should be optimised to reduce the occurrence of postoperative nausea and vomiting in high-risk patients; however, a single intervention may not effectively reduce postope...

    Authors: Ying Yang, Bucheng Liao, Ruoxi Deng, Liwei Ren, Yongjie Sun, Shaowei Xiong and Xinhai Wu
    Citation: BMC Anesthesiology 2024 24:207
  4. With the increasing prevalence of colorectal cancer (CRC), optimizing perioperative management is of paramount importance. This study investigates the potential of stellate ganglion block (SGB), known for its ...

    Authors: Di-han Lu, Xuan-xian Xu, Rui Zhou, Chen Wang, Liang-tian Lan, Xiao-yu Yang and Xia Feng
    Citation: BMC Anesthesiology 2024 24:137
  5. Postoperative nausea and vomiting (PONV) is one of the most common adverse events following orthognathic surgery. It’s a distressing feeling for patients and continues to be the cause of postoperative complica...

    Authors: Peng-fei Gao, Le Zhao, Shi-yue Li, Yue Li, Ming-kai Chen, Jing Fu and Yang Ji
    Citation: BMC Anesthesiology 2024 24:121
  6. Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve ...

    Authors: Wan-li Yang, Ya-ling Wen, Wen-mei Xu, Chi-liang Xu, Wen-qin Yin and Jing-yan Lin
    Citation: BMC Anesthesiology 2024 24:101
  7. Postoperative nausea and vomiting (PONV) is a common postoperative complication, and Transversus abdominis plane (TAP) block can provide effective analgesia for surgical operation. However, but there is not en...

    Authors: Jinfang Zeng, Aonan Hong, Zhen Gu, Jinjin Jian and Xiao Liang
    Citation: BMC Anesthesiology 2024 24:87
  8. Previous studies have examined anesthetics to improve postoperative prognosis after knee arthroscopic surgery. However, it is currently unknown whether perioperative anesthetics can influence postoperative hos...

    Authors: Jing Liu, Hong Han, Shangze Yang, Xiaoxuan Zhan, Bingbing Cao and Yue Peng
    Citation: BMC Anesthesiology 2024 24:27
  9. Postoperative nausea and vomiting (PONV) is a common side effect associated with general anesthesia. Both ondansetron and aprepitant been effectively used to prevent PONV. However, there is a disagreement of o...

    Authors: Mostafa Alam, Alireza Shakeri, Ardeshir Khorsand, Karim Nasseri and Sadaf Nasseri
    Citation: BMC Anesthesiology 2023 23:412
  10. Prolonged length of stay in post-anesthesia care unit (PLOS in PACU) is a combination of risk factors and complications that can compromise quality of care and operating room efficiency. Our study aimed to dev...

    Authors: Fuquan Fang, Tiantian Liu, Jun Li, Yanchang Yang, Wenxin Hang, Dandan Yan, Sujuan Ye, Pin Wu, Yuhan Hu and Zhiyong Hu
    Citation: BMC Anesthesiology 2023 23:404
  11. The effectiveness of goal-directed fluid therapy (GDFT) in promoting postoperative recovery remains unclear, the aim of this study was to evaluate the effect of GDFT on length of hospital stay and postoperativ...

    Authors: Yanxia Sun, Xuan Liang, Fang Chai, Dongjing Shi and Yue Wang
    Citation: BMC Anesthesiology 2023 23:397
  12. Laparoscopic radical resection of gastrointestinal cancer is associated with a high incidence of postoperative catheter-related bladder discomfort (CRBD). Studies on the benefits of magnesium sulfate intraveno...

    Authors: Wencai Jiang, Xu Zeng, Xinyu Zhou, Ou Liao, Feng Ju, Zhifu Zhao and Xianjie Zhang
    Citation: BMC Anesthesiology 2023 23:396
  13. Thoracoscopic surgical techniques continue to advance, yet the intensity of postoperative pain remains significant, impeding swift patient recovery. This study aimed to evaluate the differences in postoperativ...

    Authors: Miao Guo, Suhong Tang, Yixin Wang, Fengxia Liu, Lin Wang, Dawei Yang and Jianyou Zhang
    Citation: BMC Anesthesiology 2023 23:395
  14. The global low survival rate among ovarian cancer patients has resulted in significant social and economic burdens. Nevertheless, previous studies have produced mixed results when exploring the link between an...

    Authors: Haijian Shen, Qianyun Pang, Youzhu Gao and Hongliang Liu
    Citation: BMC Anesthesiology 2023 23:390
  15. Several studies have investigated the effect of antiemetics on postoperative nausea and vomiting (PONV) in high-risk groups. However, few studies have investigated the effect of antiemetics in patients at low ...

    Authors: Jong-Ho Kim, Jin-Sun Kim, Yeong-Gwan Jeon, Jangho Bae, Kiyoung Shin and Byeongmun Hwang
    Citation: BMC Anesthesiology 2023 23:363
  16. Postoperative sore throat and sleep disturbance are prevalent among patients undergoing spinal surgery, and these conditions can substantially impact their postoperative satisfaction and quality of life. The p...

    Authors: Decai Luo, Yanhong Su and Yong Pang
    Citation: BMC Anesthesiology 2023 23:343
  17. ERAS programs aim to reduce the length of hospital stays and lower costs, and minimize the risk of postoperative complications and readmissions while enhancing the overall patient experience. BMC Anesthesiolog...

    Authors: Mohamed R. El Tahan, Akhilesh Pahade and Manuel Ángel Gómez-Ríos
    Citation: BMC Anesthesiology 2023 23:274