A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .
Factors Affecting Postoperative Nausea and Vomiting in Surgical Patients
Purpose : This study was to identify factors affecting postoperative nausea and vomiting ( PONV ) and to investigate the incidence of PONV for the first 24 hours after operation . Design : The prospect i ve research was performed in an 1,100‐bed university hospital , from April to December , 2011 . The sample consisted of 609 patients with elective surgery . Methods : Factors affecting PONV were identified by multiple logistic regression . Findings : Incidence of PONV was 27.1 % for the first postoperative 24 hours . Insertion of nasogastric tube ( OR , 4.54 , P = .002 ) , history of PONV ( OR , 3.24 , P < .001 ) , general anesthesia ( OR , 2.76 , P = .002 ) , history of motion sickness ( OR , 2.33 , P < .001 ) , and female sex ( OR , 2.05 , P = .004 ) were high risk factors of PONV . The nonadministration of antiemetics during operation ( OR , 1.70 , P = .014 ) and nonuse  of intravenous patient‐controlled analgesia  ( OR , 1.54 , P = .038 ) increased PONV during the first postoperative 24 hours . Conclusions : Patients of female gender , history of motion sickness and PONV , general anesthesia , and nasogastric insertion are more likely to experience PONV
A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .