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Immediate mobilization

Staying in bed leads to deconditioning that can largely be prevented by physical activity (1). In the context of ERPs, being out of bed on POD0 and POD1 are independent predictors of shorter hospital stay (2). There is little available evidence to suggest what amount of mobilization improves outcomes. Patients are helped to be out of bed after transfer to the ward on POD0. The next day, they are helped to eat all meals out of bed and to walk the length of the hall at least three times.


For more information, see Chapter 14: Early Nutrition and Early Mobilization: Why They Are Important and How to Make it Happen in The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery


References
1. Convertino VA. Cardiovascular consequences of bed rest: effect on maximal oxygen uptake. Med Sci Sports Exerc. 1997 Feb;29(2):191-6.

2. Maessen J, Dejong CH, Hausel J, Nygren J, Lassen K, Andersen J, Kessels AG, Revhaug A, Kehlet H, Ljungqvist O, Fearon KC, von Meyenfeldt MF. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br J Surg. 2007 Feb;94(2):224-31.


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Bowel
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SAGES Enhanced Recovery

SAGES improves quality patient care through education, research, innovation and leadership, principally in gastrointestinal and endoscopic surgery.

Representing a worldwide community of more than 6,000 surgeons, SAGES sets the clinical and educational guidelines on standards of practice in various procedures, critical to enhancing patient safety and health.

SAGES Support

SAGES gratefully acknowledges Medtronic for its generous educational grant in support of the SMART Enhanced Recovery Program.

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  • Liane Feldman, Chair
  • Thomas Aloia, Co-Chair
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  • Conor Delaney
  • Diana Diesen
  • Justin Dimick
  • Julio Fiore Jr.
  • Gerald Fried
  • Pascal Fuchshuber
  • I. Gorgun
  • Alexis Grucela
  • Matthew Hutter
  • Edmundo Inga-Zapata
  • Rohan Joseph
  • Deborah Keller
  • Anne Lidor
  • David Liska
  • Sumeet Mittal
  • Charles Paget III
  • Michele Riordon
  • Vadim Sherman
  • Andrew Wright
  • Tonia Young-Fadok
  • Yulia Zak

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