Enhanced perioperative care in emergency general surgery: the WSES position paper

Ceresoli, M.; Braga, M.; Zanini, N.; Abu-Zidan, F. M.; Parini, D.; Langer, T.; Sartelli, M.; Damaskos, D.; Biffl, W. L.; Amico, F.; Ansaloni, L.; Balogh, Z. J.; Bonavina, L.; Civil, I.; Cicuttin, E.; Chirica, M.; Cui, Y.; De Simone, B.; Di Carlo, I.; Fette, A.; Foti, G.; Fogliata, M.; Fraga, G. P.; Fugazzola, P.; Galante, J. M.; Beka, S. G.; Hecker, A.; Jeekel, J.; Kirkpatrick, A. W.; Koike, K.; Leppaniemi, A.; Marzi, I.; Moore, E. E.; Picetti, E.; Pikoulis, E.; Pisano, M.; Podda, M.; Sakakushev, B. E.; Shelat, V. G.; Tan, E.; Tebala, G. D.; Velmahos, G.; Weber, D. G.; Agnoletti, V.; Kluger, Y.; Baiocchi, G.; Catena, F.; Coccolini, F.

doi:10.1186/s13017-023-00519-2

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.