Perioperative Management

  • Piergaspare Palumbo
  • Marco Scatizzi
  • Giorgia Prestigiacomo
  • Maddalena Baraghini


The ERAS (Enhanced Recovery After Surgery) method is a multimodal protocol of perioperative care aimed at ensuring a rapid postoperative recovery. It takes into consideration the latest available scientific evidence in the various disciplines that operate around patients requiring major surgery leading to a positive change in the response and preserving the physiological functional reserve. In fact, it protects patients’ autonomy, limiting stress and significantly reducing the length of hospital stay and the rate of complications and readmission. In the ERAS protocol, the surgical process is totally redesigned to consider important issues in the preoperative, intraoperative, and postoperative stages. Clearly elderly patients have specific and different characteristics, multiple diseases, cognitive-behavioral and psychological problems, and a high risk of complications representing their typical fragility. The ERAS pathway can respond to the needs of elderly patients and, in so doing, respect the complexity of their multiple health conditions.


ERAS method Elderly patients Major surgery 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Piergaspare Palumbo
    • 1
    • 2
  • Marco Scatizzi
    • 3
    • 4
  • Giorgia Prestigiacomo
    • 1
    • 2
  • Maddalena Baraghini
    • 1
    • 2
  1. 1.Department of Surgical Sciences“Sapienza”—University of RomeRomeItaly
  2. 2.RomeItaly
  3. 3.Chief Surgical DepartmentUsl 4 - PratoFlorenceItaly
  4. 4.RomeItaly

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