Clinical study of impact of peri-operative anaesthetic management on early recovery after surgery (ERAS) for hepatic resections in a tertiary care hospital

Enhanced recovery after surgery (ERAS): FAST TRACK SURGERY conceptualized by Prof. Henrik kehlet in order to early mobilization and recovery after surgery. ERAS concept gained considerable momentum globally. Enhanced recovery after surgery (ERAS) is an evidence-based approach to surgical care aimed at minimizing the stress of surgery and supporting patients to recover quickly through maintenance of normal physiology. ERAS protocol for hepatic resection pathway have been found to be safe and effective in patient undergoing liver resection, resulting in shortened postoperative stay, reduces mortality, re-admission rates and reduced costs. Aims to accelerate patient recovery through creating a structured approach with defined components of care at each perioperative stage (pre-, intra-, and post-).The key elements of ERAS include patient/family education, patient optimization prior to admission, minimal fasting that includes a carbohydrate beverage two hours before anesthesia, multimodal analgesia with appropriate use of opioids when indicated, return to normal diet and activities the day of surgery, and return of bowel function early.

A prospective, hospital based, observational study including all cases of liver resection in a time period between April 2023 to October 2024.

Data will be collected by using self design questionnaire.

Entire data would be entered into a Microsoft office software and appropriate statistical test will be applied and results will be calculated.