Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery

Wainwright, Tom; Immins, Tikki; Middleton, Robert

doi:10.1016/j.bpa.2015.11.001

Cited by 182 publications

(133 citation statements)

References 57 publications

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“…T. Wainwright и соавт. [12] в своей работе рассма-тривают актуальность применения технологии бы-строго восстановления после хирургического лече-ния на позвоночнике. Авторы показывают, что с учетом растущих затрат на операции и уровня не-удовлетворенности пациента, внедрение концеп-ции ERAS в спинальной нейрохирургии, включая информированность пациентов, минимизацию хи-рургической агрессии, адекватное обезболивание, малоинвазивную хирургию, раннюю активизацию и реабилитацию в послеоперационном периоде, по-зволяет быстрее восстанавливать пациентов после операции на позвоночнике и улучшать отдаленные исходы лечения.…”

Section: Discussionunclassified

Postoperative applications of the fast track technology in patients with herniated intervertebral discs of the lumbosacral spine

Nazarenko¹,

Konovalov

Krutko

et al. 2016

Vopr. neirokhir.

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Section: Discussionunclassified

Postoperative applications of the fast track technology in patients with herniated intervertebral discs of the lumbosacral spine

Nazarenko¹,

Konovalov

Krutko

et al. 2016

Vopr. neirokhir.

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“…The recommendations for gastrointestinal [13][14][15][16], bariatric [17], and oncologic [18][19][20] surgical procedures have already been published. There is increasingly strong evidence that the guidelines may be found useful in some other surgical fields, such as orthopaedics, urology, as well as thoracic, maxillofacial, and reconstructive surgery [21][22][23][24][25][26].…”

Section: Enhanced Recovery After Surgerymentioning

confidence: 99%

“…The suggested protocol of management has been adapted in almost all non-cardiac surgery specialities [13][14][15][16][17][18][19][20][21][22][23][24][25][26]; yet it is cardiac surgery, which is the most common procedure performed worldwide and is associated with high healthcare expenditures. Patients are increasingly old and have additional comorbidities, thus the risk of surgery increases.…”

Section: Enhanced Recovery Aftermentioning

confidence: 99%

It is time for enhanced recovery after surgery in cardiac surgery

Krzych

Kucewicz‐Czech²

2017

Kardiol Pol

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“…Prior reviews have explored the evidence base in patients undergoing spinal surgery. Broad concept recommendations have been made for the incorporation of individual components into an overarching program [8,11]. For example, a 2019 review of studies investigating the application of formal enhanced recovery in spinal surgery (ERSS) protocols performed a qualitative analysis of outcomes such as length of stay, associated cost, and time to ambulation.…”

Section: Introductionmentioning

confidence: 99%

Proposed pathway for patients undergoing enhanced recovery after spinal surgery: protocol for a systematic review

et al. 2020

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Background: The best evidence-enhanced recovery care pathway is yet to be defined for patients undergoing spinal surgery. Minimally invasive surgery, multimodal analgesia, early mobilization, and early postoperative nutrition have been considered as critical components of enhanced recovery in spinal surgery (ERSS). The objective of this study will be to synthesize the evidence underpinning individual components of a proposed multidisciplinary enhanced recovery pathway for patients undergoing spinal surgery. Methods: This is the study protocol for a systematic review of complex interventions. Our team identified 22 individual care components of a proposed pathway based on clinical practice guidelines and published reviews. We will include systematic reviews and meta-analysis, randomized controlled trials, non-randomized controlled trials, and observational studies in adults or pediatric patients evaluating any one of the pre-determined care components. Our primary outcomes will be all-cause mortality, morbidity outcomes (e.g., pulmonary, cardiac, renal, surgical complications), patient-reported outcomes and experiences (e.g., pain, quality of care experience), and health services outcomes (e.g., length of stay and costs). We will search the following databases (1990 onwards) MEDLINE, EMBASE, and Cochrane Library (Cochrane Database of Systematic Reviews and CENTRAL). Two reviewers will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The risk of bias for individual studies will be appraised using appropriate tools. A narrative synthesis will be provided with the information presented in the text and tables to summarize and explain the characteristics and findings of the included studies. Due to clinical and methodological heterogeneity, we do not anticipate to conduct meta-analyses. Confidence in cumulative evidence for each component of care will be classified according to the GRADE system.Discussion: This systematic review will identify, evaluate, and integrate the evidence underpinning individual components of a pathway for patients undergoing spinal surgery. The formation of an evidence-based pathway will allow for the standardization of clinical care delivery within the context of enhanced recovery in spinal surgery. Systematic review registration: PROSPERO CRD42019135289

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Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery

Cited by 182 publications

References 57 publications

Postoperative applications of the fast track technology in patients with herniated intervertebral discs of the lumbosacral spine

Postoperative applications of the fast track technology in patients with herniated intervertebral discs of the lumbosacral spine

It is time for enhanced recovery after surgery in cardiac surgery

Proposed pathway for patients undergoing enhanced recovery after spinal surgery: protocol for a systematic review

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