AUGUST 14, 2017
Enhanced Surgical Recovery: From Principles to Standard of Care
This monograph is based on the Annual Congress of Enhanced Recovery and Perioperative Medicine held on April 27-29, 2017 in Washington, DC. It includes summaries of some of the key lectures, as well as the top abstract presented at the congress.
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Enhanced Surgical Recovery: From Principles to Standard of Care
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The 9 words of Friedberg's Triad have kept >6,000 office-based patients over 25 years from needing hospitalization for either PONV or postoperative pain. Notably missing from ERAS literature is 1) the value of real time BIS/EMG monitoring to minimize over medication and postoperative brain fog; 2) 50mg IV ketamine 3 minutes prior to incision to block midbrain NMDA receptors & eliminating windup phenomenon; 3) avoiding emetogenic opioids. Friedberg's Triad is Measure the brain; Preempt the pain; Emetic drugs abstain. Numerically reproducible paradigm without the added expense of a perioperative surgical home. Food for thought for the open minded.