Anesthetic Management to Promote Aggressive Rehabilitation after Major Abdominal Surgery

Abstract

The key anesthetic strategy that accelerates aggressive rehabilitation after major abdominal surgeries consists of the following four elements：1. Epidural anesthesia, 2. Administration of drugs against systemic inflammatory response syndrome, 3. Volume therapy based on hydroxyethyl starch solution, and 4. Deep neuromuscular block. Aggressive rehabilitation helps the patient regain health and sustain exercise immediately after major abdominal surgery, which may possibly lead to improvement of long-term prognosis.