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Papers of the Week


2020 Nov 26


Mil Med

Multivitamin Use in Enhanced Recovery After Surgery Protocols: A Cost Analysis.

Authors

Rask DMG, Puntel MR, Patzkowski JC, Patzkowski MS
Mil Med. 2020 Nov 26.
PMID: 33242075.

Abstract

Enhanced Recovery After Surgery (ERAS) protocols have shown significant benefits in multiple areas including early mobilization, improved pain control, and early oral intake. Deficient nutritional states may compromise the operative outcomes. Several essential vitamins, e.g., B12, C, D, and E, have demonstrated anti-inflammatory properties and may promote wound healing. Given the low risk of oral multivitamin supplementation and the potential benefits, we hypothesized that adding a multivitamin to our institution's ERAS protocols would be a low-cost perioperative intervention accounting for a very small fraction of the annual pharmacy budget.