This Week In The Bmj

Perioperative care needs updating

BMJ 2005; 330 doi: (Published 16 June 2005) Cite this as: BMJ 2005;330:0-b

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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