Enhanced perioperative care in emergency general surgery: the WSES position paper

Ceresoli, Marco;Braga, Marco;Zanini, Nicola;Abu-Zidan, Fikri M;Parini, Dario;Langer, Thomas;Sartelli, Massimo;Damaskos, Dimitrios;Biffl, Walter L;Amico, Francesco;Ansaloni, Luca;Balogh, Zsolt J;Bonavina, Luigi;Civil, Ian;Cicuttin, Enrico;Chirica, Mircea;Cui, Yunfeng;De Simone, Belinda;Di Carlo, Isidoro;Fette, Andreas;Foti, Giuseppe;Fogliata, Michele;Fraga, Gustavo P;Fugazzola, Paola;Galante, Joseph M;Beka, Solomon Gurmu;Hecker, Andreas;Jeekel, Johannes;Kirkpatrick, Andrew W;Koike, Kaoru;Leppäniemi, Ari;Marzi, Ingo;Moore, Ernest E;Picetti, Edoardo;Pikoulis, Emmanouil;Pisano, Michele;Podda, Mauro;Sakakushev, Boris E;Shelat, Vishal G;Tan, Edward;Tebala, Giovanni D;Velmahos, George;Weber, Dieter G;Agnoletti, Vanni;Kluger, Yoram;Baiocchi, Gianluca;Catena, Fausto;Coccolini, Federico

2023-01-01

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Abstract

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.