BMJ  2005;330 (18 June), doi:10.1136/bmj.330.7505.0-b

Perioperative care needs updating

Despite the abundant evidence for optimal perioperative care in colorectal surgery, day to day practice in Scotland, the Netherlands, Denmark, Sweden, and Norway differs substantially among these countries and deviates considerably from the best available evidence. Lassen and colleagues (p 1420) mailed a questionnaire with a hypothetical case to the head surgeons of all centres for digestive surgery in the five countries under study, which all belong to the Enhanced Recovery After Surgery Group. Surgical patients remain exposed to unnecessary starvation, suboptimal stress reduction, and fluid overload, the authors say.

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Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries

Kristoffer Lassen, Pascal Hannemann, Olle Ljungqvist, Ken Fearon, Cornelis H C Dejong, Maarten F von Meyenfeldt, Jonatan Hausel, Jonas Nygren, Jens Andersen, Arthur Revhaug on behalf of the Enhanced Recovery After Surgery (ERAS) Group
BMJ 2005 330: 1420-1421. [Full Text] [PDF]