Preoperative

 

  • Risk scoring systems: identify patients at risk of complications, stratify periop risk

  • Optimize medical disease (smoking/alcohol cessation, optimize medical conditions according to international guidelines)

  • Pre-anesthetic medication:

    • Avoid long-acting anxiolytics/opioids 

    • Avoid short-acting benzodiazepines in the elderly

  • Preop fasting:

    • Allow clear fluids until 2 hours, solids until 6 hours prior to induction

    • Preop oral CHOs unless “full stomach” 

 

 

Adapted from Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiologica Scandinavica 60 (2016) 289–334