Perioperative care in open aortic vascular surgery: A consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery

McGinigle, Katharine L.; Spangler, Emily L.; Pichel, Adam; Ayyash, Katie; Arya, Shipra; Settembrini, Alberto M.; Garg, Joy; Thomas, Merin M.; Dell, K.; Swiderski, Iris J.; Lindo, Fae; Setacci, Carlo; Urman, Richard D.; Howell, Simon; Ljungqvist, Olle; Boer, Hans D. de

doi:10.1016/j.jvs.2022.01.131

Cited by 47 publications

(33 citation statements)

References 285 publications

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“…From the ERAS ® Society website, 21 currently published ERAS ® guidelines were included in the analysis to determine consensus and differing statements regarding each ERAS ® core item. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] This analysis pertained to 21 pharmacotherapy-related core items listed in Table 1. Each guideline was abstracted by core item using an Excel spreadsheet.…”

Section: Methodsmentioning

confidence: 99%

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Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Powers,

Ponder,

Findley

et al. 2024

World j. surg.

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IntroductionWorldwide, ERAS® Society guidelines have ushered in a new era of perioperative care. The purpose of this systematic review is to compare published core elements and pharmacotherapy recommendations embedded within ERAS® Society abdominal and thoracic surgery (ATS) guidelines. Determining whether a consensus exists for pharmacological core items would make future guideline preparation for similar surgeries more standardized and could improve patient care by reducing unnecessary protocol variations.MethodsFrom the ERAS® Society website as of May 2023, 16 current ERAS® published ATS guidelines were included in the analysis to determine consensus and differing statements regarding each ERAS® perioperative and pharmacotherapy‐related item. The aims were to (a) determine whether a consensus for each item could be derived, (b) identify gaps in ERAS® protocol development, and (c) propose potential research directions for addressing the identified gaps in the literature.ResultsCore items with consensus included: preoperative smoking and alcohol cessation; avoiding bowel reparation and fasting; multimodal preanesthetic, perioperative analgesia, and postoperative nausea and vomiting regimens; low molecular weight heparins for in‐hospital and at‐home venous thromboembolism prophylaxis; antibiotic prophylaxis; skin preparation; goal‐directed perioperative fluid management with balanced crystalloids; perioperative nutrition care; ileus prevention with peripherally‐acting mu receptor antagonists; and glucose control.ConclusionWhile consensus was found for aspects of 21 current ERAS® guideline core items related to pharmacotherapy choice, details related to doses, regimen, timing of administration as well as unique aspects pertaining to specific surgeries remain to be researched and harmonized to promote guideline consistency and further optimize patient outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Powers,

Ponder,

Findley

et al. 2024

World j. surg.

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“…The 2019 ERAS/ESTS Guidelines endorsed a ‘strong’ recommendation grade to avoid preanesthetic sedative medications, despite only a ‘moderate’ evidence level. In the years since there has continued to be a paucity of data studying this practice, but other recent enhanced recovery guidelines for similar patient populations, such as total joint replacements and open aortic surgery, have offered similar ‘strong’ recommendations to avoid it [4,5 ▪ ].…”

Section: Pre-anesthetic Medicationmentioning

confidence: 99%

Update on guidelines and recommendations for enhanced recovery after thoracic surgery

Cohen,

Smith,

Teeter

2023

Current Opinion in Anaesthesiology

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Purpose of review Enhanced recovery after thoracic surgery (ERATS) has continued its growth in popularity over the past few years, and evidence for its utility is catching up to other specialties. This review will present and examine some of that accumulated evidence since guidelines sponsored by the Enhanced Recovery after Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) were first published in 2019. Recent findings The ERAS/ESTS guidelines published in 2019 have not been updated, but new studies have been done and new data has been published regarding some of the individual components of the guidelines as they relate to thoracic and lung resection surgery. While there is still not a consensus on many of these issues, the volume of available evidence is becoming more robust, some of which will be incorporated into this review. Summary The continued accumulation of data and evidence for the benefits of enhanced recovery techniques in thoracic and lung resection surgery will provide the thoracic anesthesiologist with guidance on how to best care for these patients before, during, and after surgery. The data from these studies will also help to elucidate which components of ERAS protocols are the most beneficial, and which components perhaps do not provide as much benefit as previously thought.

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“…Además, se ha observado que el soporte nutricional posquirúrgico es una herramienta adecuada para mejorar la recuperación. Por ello, recientemente la Society for Vascular Surgery y la Enhanced Recovery After Surgery Society han resumido la evidencia científica en 36 recomendaciones relevantes para la atención perioperatoria en cirugía vascular; en estas recomendaciones se incluyen las relacionadas con el proceso de atención nutricional: evaluación del estado de nutrición, ayuno prequirúrgico, carga de hidratos de carbono, realimentación oral, control glucémico y otros (23) .…”

Section: El Nutricionista-dietista Ante El Aneurisma De Aorta Abdominalunclassified

El nutricionista-dietista ante el aneurisma de aorta abdominal

Almendra‐Pegueros

Martı́nez-González

Rodríguez

et al. 2022

rncm

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Perioperative care in open aortic vascular surgery: A consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery

Cited by 47 publications

References 285 publications

Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Update on guidelines and recommendations for enhanced recovery after thoracic surgery

El nutricionista-dietista ante el aneurisma de aorta abdominal

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Perioperative care in open aortic vascular surgery: A consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery

Cited by 47 publications

References 285 publications

Enhanced recovery after surgery (ERAS®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Enhanced recovery after surgery (ERAS®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Update on guidelines and recommendations for enhanced recovery after thoracic surgery

El nutricionista-dietista ante el aneurisma de aorta abdominal

Contact Info

Product

Resources

About

Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items

Enhanced recovery after surgery (ERAS^®) Society abdominal and thoracic surgery recommendations: A systematic review and comparison of guidelines for perioperative and pharmacotherapy core items