World Journal of Emergency Surgery (Oct 2023)
Enhanced perioperative care in emergency general surgery: the WSES position paper
- Marco Ceresoli,
- Marco Braga,
- Nicola Zanini,
- Fikri M. Abu-Zidan,
- Dario Parini,
- Thomas Langer,
- Massimo Sartelli,
- Dimitrios Damaskos,
- Walter L. Biffl,
- Francesco Amico,
- Luca Ansaloni,
- Zsolt J. Balogh,
- Luigi Bonavina,
- Ian Civil,
- Enrico Cicuttin,
- Mircea Chirica,
- Yunfeng Cui,
- Belinda De Simone,
- Isidoro Di Carlo,
- Andreas Fette,
- Giuseppe Foti,
- Michele Fogliata,
- Gustavo P. Fraga,
- Paola Fugazzola,
- Joseph M. Galante,
- Solomon Gurmu Beka,
- Andreas Hecker,
- Johannes Jeekel,
- Andrew W. Kirkpatrick,
- Kaoru Koike,
- Ari Leppäniemi,
- Ingo Marzi,
- Ernest E. Moore,
- Edoardo Picetti,
- Emmanouil Pikoulis,
- Michele Pisano,
- Mauro Podda,
- Boris E. Sakakushev,
- Vishal G. Shelat,
- Edward Tan,
- Giovanni D. Tebala,
- George Velmahos,
- Dieter G. Weber,
- Vanni Agnoletti,
- Yoram Kluger,
- Gianluca Baiocchi,
- Fausto Catena,
- Federico Coccolini
Affiliations
- Marco Ceresoli
- School of Medicine and Surgery, Milano-Bicocca University
- Marco Braga
- School of Medicine and Surgery, Milano-Bicocca University
- Nicola Zanini
- General Surgery Department, Bufalini Hospital
- Fikri M. Abu-Zidan
- The Research Office, College of Medicine and Health Sciences, United Arab Emirates University
- Dario Parini
- General Surgery Department - Santa Maria Della Misericordia Hospital
- Thomas Langer
- School of Medicine and Surgery, Milano-Bicocca University
- Massimo Sartelli
- General Surgery, Macerata Hospital
- Dimitrios Damaskos
- Department of General Surgery, Royal Infirmary of Edinburgh
- Walter L. Biffl
- Scripps Memorial Hospital La Jolla
- Francesco Amico
- John Hunter Hospital Trauma Service and School of Medicine and Public Health, The University of Newcastle
- Luca Ansaloni
- General Surgery, Fondazione IRCCS San Matteo
- Zsolt J. Balogh
- Department of Traumatology, John Hunter Hospital and University of Newcastle, Hunter Medical Research Institute
- Luigi Bonavina
- Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan
- Ian Civil
- University of Auckland
- Enrico Cicuttin
- General Surgery, Fondazione IRCCS San Matteo
- Mircea Chirica
- Department of Digestive Surgery, CHU Grenoble Alpes
- Yunfeng Cui
- Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University
- Belinda De Simone
- Unit of Emergency and Trauma Surgery, Villeneuve St Georges Academic Hospital
- Isidoro Di Carlo
- Department of Surgical Sciences and Advanced Technologies, General Surgery Cannizzaro Hospital, University of Catania
- Andreas Fette
- PS_SS Weissach im Tal
- Giuseppe Foti
- School of Medicine and Surgery, Milano-Bicocca University
- Michele Fogliata
- School of Medicine and Surgery, Milano-Bicocca University
- Gustavo P. Fraga
- Division of Trauma Surgery, School of Medical Sciences (FCM), University of Campinas (Unicamp)
- Paola Fugazzola
- General Surgery, Fondazione IRCCS San Matteo
- Joseph M. Galante
- University of California, Davis
- Solomon Gurmu Beka
- University of Otago
- Andreas Hecker
- Department of General and Thoracic Surgery, University Hospital of Giessen
- Johannes Jeekel
- Erasmus MC University
- Andrew W. Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre
- Kaoru Koike
- Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine
- Ari Leppäniemi
- Helsinki University Hospital and University of Helsinki
- Ingo Marzi
- Department of Trauma, Hand, and Reconstructive Surgery, Goethe University, Frankfurt University Hospital
- Ernest E. Moore
- Director of Surgery Research, Ernest E. Moore Shock Trauma Center, Distinguished Professor of Surgery, University of Colorado
- Edoardo Picetti
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Emmanouil Pikoulis
- Third Department of Surgery, Attikon University Hospital
- Michele Pisano
- General Surgery, ASST Papa Giovanni XXIII
- Mauro Podda
- Department of Surgical Science, University of Cagliari
- Boris E. Sakakushev
- RIMU Plovdiv/UMHAT St George Plovdiv
- Vishal G. Shelat
- Department of General Surgery, Tan Tock Seng Hospital
- Edward Tan
- Former Chair Department of Emergency Medicine, HEMS Physician, Radboud University Medical Center
- Giovanni D. Tebala
- Digestive and Emergency Surgery Department, Azienda Ospedaliera S.Maria
- George Velmahos
- Harvard Medical School - Massachusetts General Hospital
- Dieter G. Weber
- Department of General Surgery, Royal Perth Hospital, Head of Service and Director of Trauma, Royal Perth Hospital, The University of Western Australia
- Vanni Agnoletti
- Anesthesia and Critical Care Department, Bufalini Hospital
- Yoram Kluger
- Department of General Surgery, The Rambam Academic Hospital
- Gianluca Baiocchi
- General Surgery, University of Brescia, ASST Cremona
- Fausto Catena
- General Surgery Department, Bufalini Hospital
- Federico Coccolini
- Emergency Surgery, University of Pisa
- DOI
- https://doi.org/10.1186/s13017-023-00519-2
- Journal volume & issue
-
Vol. 18,
no. 1
pp. 1 – 17
Abstract
Abstract Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients’ outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.
