Abstract
University Hospitals Case Medical Center, in Cleveland, Ohio, has been at the forefront of the development of enhanced recovery pathways (ERP) for over a decade. The Division of Colorectal Surgery has helped to carefully develop and investigate many elements that are now standard in ERPs at many institutions around the world. Utilizing a multidisciplinary approach to perioperative care, many patients can now be discharged home safely following colectomy in 24–48 h. The team, consisting of the attending surgeons, nurse practitioners, colorectal fellow, general surgical residents, enterostomal therapy nurses, and registered nurses, coordinate care within the guidelines of a well-established ERP to ensure the safest and most comfortable experience for patients. Through our work on enhanced recovery in the colorectal patient population, we have developed protocols that incorporate these principles to all abdominal surgery specialties including surgical oncology, gynecology oncology, general surgery, hepatobiliary, and urology. In this chapter, we provide an overview of our institute’s ERP for colorectal surgery, beginning in the preoperative period and continuing through discharge and follow-up.
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© 2015 Springer International Publishing Switzerland
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Crawshaw, B.P., Brady, K.M., Delaney, C.P. (2015). Enhanced Recovery Programs for Colorectal Surgery: University Hospitals Case Medical Center. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_22
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DOI: https://doi.org/10.1007/978-3-319-20364-5_22
Publisher Name: Springer, Cham
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