{"title":"Intraoperative Management for Enhanced Recovery After Gynecologic Surgery.","authors":"Gavin G Ovsak, Gabriel E Mena, Javier D Lasala","doi":"10.1097/GRF.0000000000000975","DOIUrl":null,"url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) protocols have revolutionized perioperative care, aiming to reduce surgical stress and expedite recovery. In gynecologic surgery, anesthesiologists play a pivotal role in implementing intraoperative strategies that align with ERAS principles. This manuscript delineates evidence-based intraoperative anesthetic management techniques tailored for gynecologic procedures within an ERAS framework, including multimodal analgesia, optimal fluid management, maintenance of normothermia, and lung protective ventilation (Figure 1). The integration of these strategies has demonstrated improvements in patient outcomes, including reduced hospital stays, decreased opioid consumption, and enhanced patient satisfaction.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical obstetrics and gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/GRF.0000000000000975","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Enhanced recovery after surgery (ERAS) protocols have revolutionized perioperative care, aiming to reduce surgical stress and expedite recovery. In gynecologic surgery, anesthesiologists play a pivotal role in implementing intraoperative strategies that align with ERAS principles. This manuscript delineates evidence-based intraoperative anesthetic management techniques tailored for gynecologic procedures within an ERAS framework, including multimodal analgesia, optimal fluid management, maintenance of normothermia, and lung protective ventilation (Figure 1). The integration of these strategies has demonstrated improvements in patient outcomes, including reduced hospital stays, decreased opioid consumption, and enhanced patient satisfaction.
期刊介绍：
Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.
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