Features  |   July 2018
Recovery After Surgery: A Matter of Definitions
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Central and Peripheral Nervous Systems / Critical Care / Geriatric Anesthesia / Neurosurgical Anesthesia / Patient Safety / Pharmacology / Quality Improvement / Features
Features   |   July 2018
Recovery After Surgery: A Matter of Definitions
ASA Monitor 7 2018, Vol.82, 24-25.
ASA Monitor 7 2018, Vol.82, 24-25.
Merriam-Webster defines “recovery” as “the act, process or an instance of recovering” and defines “recovering” as “being in the process of overcoming a disorder or shortcoming.” In 1990, Engelman et al.1  described accelerated recovery after cardiac surgery (i.e., “fast-track recovery of the coronary bypass patient”) and showed a decrease in hospital length of stay (LOS) with the implementation of peri-operative multimodal care. Around the same time, Prof. Henrik Kehlet, a colorectal surgeon from Denmark, suggested that a multimodal, multidisciplinary approach with modifications in preoperative, intraoperative and postoperative factors working synergistically to modulate the surgical stress response would translate into an enhanced recovery.2  Since then, implementation of enhanced recovery after surgery (ERAS) programs has been reported as “successful” in several surgical models.3 
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