ERAS protocols with tailored multimodal analgesia may reduce postoperative complications in frail surgical patients despite limited studies.
Does the application of ERAS protocols reduce postoperative complications in frail patients undergoing surgical procedures?
The application of ERAS protocols, particularly adequate multimodal postoperative analgesia, may reduce postoperative complications in frail surgical patients.
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Given the growing mean age of population, a substantial percentage of patients undergoing surgical procedures can be classified as elderly or as frail, because oncological, malnourished, anemic, depressed or with chronic organ failure. Identification of frailty in the preoperative assessment is essential for implementing the application of ERAS protocols, whose main principles are potentially tailored for frail patients. Preoperative optimization and minimal invasiveness are mandatory to improve baseline resilience of these subjects. In particular, being pain a strong determinant of frailty, adequate multimodal postoperative analgesia is strongly recommended. Despite the limited number of studies available, current evidence suggests that application of ERAS protocols to frail patients may reduce the rates of postoperative complications.
COLUZZI et al. (Sun,) reported a other. ERAS protocols with tailored multimodal analgesia may reduce postoperative complications in frail surgical patients despite limited studies.