The regulatory sweep found no new drug approval or safety recall bearing on anaesthetic practice today. That is the usual pattern: drug regulators rarely act on the core of what anaesthetists do — technique, dosing and perioperative process — which is shaped instead by society guidance.
A systematic review across 24 Enhanced Recovery After Surgery (ERAS) Society guidelines identified the anaesthetic elements that recur consistently regardless of the operation: multimodal analgesia, fasting rules, thromboprophylaxis, antimicrobial prophylaxis, nutrition, and temperature and fluid management. Mean guideline quality was good (AGREE II 76%). Where recommendations were high-frequency but inconsistent in strength — notably fluid management, preoperative carbohydrate loading and premedication — the review flags them for local appraisal rather than blanket adoption.
Use this consistent core as the backbone of a departmental perioperative protocol, and treat the mixed-strength domains as the ones to decide locally with your surgeons.
- No new anaesthetic drug approval or recall in today's sweep
- Consistent ERAS anaesthetic core: multimodal analgesia, fasting, thromboprophylaxis, antimicrobial prophylaxis, nutrition, temperature and fluid management
- Mean guideline quality good (AGREE II 76%)
- Decide fluid management, carbohydrate loading and premedication locally — evidence is mixed
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