What is one of the post-operative ERABS recommendations?

One of the post-operative ERABS (Enhanced Recovery After Bariatric Surgery) recommendations is thromboprophylaxis. This approach is crucial because patients who undergo bariatric surgery are at an increased risk for venous thromboembolism (VTE) due to factors such as obesity, surgery, and immobility post-operation. Implementing prophylactic measures, such as anticoagulants, mechanical devices, or a combination of both, is essential to minimize the risk of blood clots and enhance overall recovery.

In the context of ERABS, the focus is on optimizing patient recovery while minimizing complications. Thromboprophylaxis aligns with this goal by ensuring that patients are adequately protected from potential post-operative complications that can arise from decreased mobility or increased coagulability.

Other options do not fit within the core principles of ERABS as well. For example, an extended fasting period could prolong recovery times and hinder the patient’s post-operative recovery. The use of solely narcotic analgesics is generally discouraged due to the potential for increased side effects and complications; multimodal analgesia is often preferred. Immediate discharge, while beneficial in some cases, must be carefully considered based on the patient’s recovery status and potential risks, as it may not always be appropriate