Which of the following is a recommendation for preoperative ERABS to improve surgical outcomes?

The recommendation for preoperative Enhanced Recovery After Bariatric Surgery (ERABS) to improve surgical outcomes emphasizes the importance of preparing the body for surgery to enhance recovery. Deep breathing exercises play a critical role in this preparation. They help to optimize lung function, reduce the risk of postoperative respiratory complications, and promote better oxygenation. By encouraging patients to perform deep breathing exercises before surgery, healthcare providers can facilitate pulmonary expansion, decrease the likelihood of atelectasis, and enhance overall postoperative recovery.

In contrast, adopting a high-fat diet is generally not advised prior to surgery, as it may not support optimal metabolic health or recovery. Extended bed rest can lead to deconditioning and complications such as venous thromboembolism and is counterproductive to the goals of preoperative preparation, which typically include promoting physical activity when possible. Increased narcotic use also does not align with ERABS principles, as reducing narcotic consumption preoperatively is often encouraged to minimize postoperative complications such as constipation, nausea, and impaired mobility. Therefore, deep breathing exercises are the most relevant and beneficial recommendation in this context.