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Papers of the Week

2022 Mar

Anesthesiol Clin



Emergency Laparotomy.


Aggarwal G, Scott M, Peden CJ
Anesthesiol Clin. 2022 Mar; 40(1):199-211.
PMID: 35236580.


Emergency laparotomy is a high-risk surgical procedure with mortality and morbidity up to 10 times higher than for a similar procedure performed electively. An enhanced recovery approach has been shown to improve outcomes. A focus on rapid correction of underlying deranged acute physiology and proactive management of conditions associated with aging such as frailty and delirium are key. Patients are at high risk of complications and prevention and avoidance of failure to rescue are essential to improve outcomes. Other enhanced recovery components such as opioid-sparing analgesia and early postoperative mobilization are beneficial.