Enhanced Recovery After Surgery Protocols

Kleppe, Kyle; Greenberg, Jacob A.

doi:10.1016/j.suc.2018.01.006

Cited by 29 publications

(12 citation statements)

References 34 publications

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“…Initially described as "fast-track surgery" designed to expedite recovery and decrease length of stay (LOS), ERAS has since evolved in both language and approach to focus on optimizing the perioperative experience of surgical patients. 25 To date, ERAS has been implemented in various surgical specialties. 4,5,7,22,30,38,41,45,49,57 As the earliest discipline to implement ERAS, colorectal surgery offers a substantial body of literature supporting its benefits.…”

mentioning

confidence: 99%

Enhanced recovery after spine surgery: a systematic review

Elsarrag¹,

Soldozy²,

Patel³

et al. 2019

Neurosurgical Focus

181

113

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OBJECTIVEEnhanced recovery after surgery (ERAS) is a multidimensional approach to improving the care of surgical patients using subspecialty- and procedure-specific evidence-based protocols. The literature provides evidence of the benefits of ERAS implementation, which include expedited functional recovery, decreased postoperative morbidity, reduced costs, and improved subjective patient experience. Although extensively examined in other surgical areas, ERAS principles have been applied to spine surgery only in recent years. The authors examine studies investigating the application of ERAS programs to patients undergoing spine surgery.METHODSThe authors conducted a systematic review of the PubMed and MEDLINE databases up to November 20, 2018.RESULTSTwenty full-text articles were included in the qualitative analysis. The majority of studies were retrospective reviews of nonrandomized data sets or qualitative investigations lacking formal control groups; there was 1 protocol for a future randomized controlled trial. Most studies demonstrated reduced lengths of stay and no increase in rates of readmissions or complications after introduction of an ERAS pathway.CONCLUSIONSThese introductory studies demonstrate the potential of ERAS protocols, when applied to spine procedures, to reduce lengths of stay, accelerate return of function, minimize postoperative pain, and save costs.

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mentioning

confidence: 99%

Enhanced recovery after spine surgery: a systematic review

Elsarrag¹,

Soldozy²,

Patel³

et al. 2019

Neurosurgical Focus

181

113

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“…emergency operations and a minimally invasive surgical approach. Additionally, as the ERAS protocol, an evidence-based care improvement process, is becoming more widespread throughout various fields in surgery 26 , 27 , the usefulness of postoperative coffee consumption within an ERAS context is a further relevant question to be addressed.…”

Section: Discussionmentioning

confidence: 99%

Effect of postoperative coffee consumption on gastrointestinal function after abdominal surgery: A systematic review and meta-analysis of randomized controlled trials

Eamudomkarn

Kietpeerakool

Kaewrudee

et al. 2018

Sci Rep

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Coffee is believed to prevent postoperative ileus. This systematic review and meta-analysis was undertaken to determine the effectiveness of coffee consumption in stimulating gastrointestinal function after abdominal surgery. A number of databases for randomized controlled trials comparing coffee consumption following abdominal surgery versus water drinking or no intervention were searched. Cochrane’s Risk of Bias tool was used to assess risk of bias in included studies. Six trials involving 601 participants were included. All studies had high risk of performance bias. Three studies had an unclear risk of selection bias. Postoperative coffee consumption reduced time to first defecation (mean difference (MD), −9.98 hours; 95% CI, −16.97 to −2.99), time to first flatus (MD, −7.14 hours; 95% CI, −10.96 to −3.33), time to first bowel sound (MD, −4.17 hours; 95% CI, −7.88 to −0.47), time to tolerance of solid food (MD, −15.55 hours; 95% CI, −22.83 to −8.27), and length of hospital stay (MD, −0.74 days; 95% CI, −1.14 to −0.33). Benefits increased with increasing complexity of the procedure. None of the included studies reported adverse events associated with coffee consumption. Postoperative coffee consumption is effective and safe for enhancing the recovery of gastrointestinal function after abdominal surgery.

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“…ERAS protocols have been evaluated previously and demonstrated to improve quality of care, patient-reported and operative outcomes, and patient safety. They also help reduce costs (9).…”

Section: Evolution Of Quality Assurance For Head and Neck Cancer Surgmentioning

confidence: 99%

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

et al. 2020

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Purpose of review: Defining the best practice of surgical care for patients affected by malignant head and neck tumors is of great importance. In this review we aim to describe the evolution of "best practice" guidelines in the context of quality-of-care measures and discuss current evidence on "best practice" for the surgical treatment of cancers of the sino-nasal tract, skull base, aero-digestive tract, and the neck. Recent findings: Current evidence based on certain structure and outcome indicators, but mostly based on process indicators already helps defining the framework of "Best practice" for head and neck cancer surgery. However, many aspects of surgical treatment still require in-depth research. Summary: While a framework of "Best practice" strategies already exists for the conduction of the surgical treatment of head and neck cancers, many questions still require additional research in particular in case of rare histologies in the head and neck region.

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Enhanced Recovery After Surgery Protocols

Cited by 29 publications

References 34 publications

Enhanced recovery after spine surgery: a systematic review

Enhanced recovery after spine surgery: a systematic review

Effect of postoperative coffee consumption on gastrointestinal function after abdominal surgery: A systematic review and meta-analysis of randomized controlled trials

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

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