The SAGES/ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

Editors: Feldman, L.S., Delaney, C.P., Ljungqvist, O., Carli, F. (Eds.)


This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs.

The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.

Check it out and order on both printed and electronic formats at Springer 


Should chloride-rich crystalloids remain the mainstay of fluid resuscitation to prevent ‘pre-renal’ acute kidney injury?

Dileep N. Lobo and Sherif Awad

Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute of Health Research Biomedical Research
Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK

International Society of Nephrology, 2014

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Basic Concepts of Fluid and Electrolyte Therapy

Dileep N. Lobo, Andrew J. P. Lewington, Simon P. Allison

This book, ‘Basic Concepts of Fluid and Electrolyte Therapy’, fills a long felt need for an up to date pocket guide to the subject. Water and electrolyte balance is crucial for body homeostasis and is one of the most protected physiological mechanisms in the body. While we can survive for months without food, without water intake we die very quickly. Similarly the body has very strong mechanisms to control salt and water balance, an understanding of which has major implications in clinical practice. Despite salt and water balance being so fundamental for homeostatic control, knowledge and practice of fluid and electrolyte therapy has been shown to be appallingly poor among many health care professionals. The results of such knowledge surveys have been reported by the authors and were surely the reason why they felt the urge to write this book.

Dileep Lobo, Andrew Lewington and Simon Allison are all well renowned experts in this field covering different aspects of the topic: surgery, renal medicine and clinical nutrition. This allows for a broad approach to the concepts of fluid and electrolyte management and gives the book sufficient depth to fulfil the basic needs of all medical specialties.

The book covers the basics in physiology and pathophysiology, how to assess fluid and electrolyte status, a clear overview of fluids used in clinical practice and how to prescribe them, and then moves on to describe and discuss some of the most common clinical problems. The book is rich in tables and figures that help the reader grasp the fundamentals, both physiological and pathophysiological. It contains examples of how to address clinical situations and to monitor treatment, often with the help of simple cartoons and figures. The authors have also done a fine job in explaining some of the more complex issues involved, making this book a very useful read for everyone involved in patient care, as well as for students in training for any higher qualifications in the medical professions.

Whether you are a professional in medicine or a student, enjoy this very interesting read, and make use of it in your practice!

Download your free PDF copy here Basic_Concepts_of_Fluid_and_Electrolyte_Therapy


Manual of Fast Track Recovery for Colorectal Surgery

Editor(s): Nader Francis, Yeovil District Hospital NHS Foundation, Yeovil, UK; Robin H. Kennedy, St Mark’s Hospital, Harrow, UK; Olle Ljungqvist, Örebro University Hospital, Örebro, Sweden; Monty G. Mythen, University College
London, London, UK

book-francis-naderThe Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists and outpatient nurses. Contents: Overview: Key Elements and the Impact of Enhanced Recovery Care.- Pre-Operative Optimisation and Conditioning of Expectations.- The Metabolic Stress Response and Enhanced Recovery.- Anaesthetic Contributions in Enhanced Recovery.- Peri-Operative Fluid Management in Enhanced Recovery.- Pain Control After Surgery.- The Role of the Enhanced Recovery Facilitator.-Colorectal Surgery and Enhanced Recovery.- Setting up an Enhanced Recovery Programme.- Success and Failure in Colorectal Enhanced Recovery.- Data Collection and Audit.

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Varandhan, KK, Lobo DN, Ljungqvist O, Enhanced Recovery After Surgery: The Future of Improving Surgical Care. Crit Care Clin. 2010 Jul;26(3):527-47
Varandhan, KK et al. The enhanced recover after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized trials. Clin. Nutr. 2010
Sammour et al. A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery. Journal of the New Zealand Medical Association, 30 July 2010, Vol 123, No 1319
K. Lassen et al (ERAS Group), Consensus Review of Optimal Perioperative Care in Colorectal Surgery, Enhanced Recovery After Surgery (ERAS) Group Recommendations, Arch Surg. 2009; 144(10): 961-969
J. Maessen, et al. A protocol is not enough to implement an enhanced recovery programme for colorectal resection, British Journal of Surgery 2007; 94: 224-231
Institute for Healthcare Improvement. White Paper: The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. Innovation Series 2003