Which of the following is NOT a part of intraoperative ERABS recommendations?

The focus of Enhanced Recovery After Bariatric Surgery (ERABS) recommendations is to optimize patient outcomes and minimize complications related to bariatric procedures. Among these guidelines, opioid-sparing multi-modal analgesia is emphasized to manage pain effectively while reducing the reliance on narcotics, which can lead to increased risks such as respiratory depression and delayed recovery.

Protective ventilation strategies are encouraged to minimize lung injury and ensure effective gas exchange during surgery, aligning with best practices for respiratory care. Goal-directed fluid management is aimed at optimizing hemodynamics and avoiding complications associated with fluid overload or deficits.

The option that stands out as inconsistent with ERABS guidelines is the emphasis on increased narcotic pain relief. This approach counters the multi-modal analgesia strategy, which is designed to control pain without excessive use of opioids, ultimately supporting a faster recovery and better postoperative outcomes. Thus, the move away from increased narcotic pain relief further solidifies the principle of minimizing opioid use during the intraoperative period in line with ERABS recommendations.