Enhanced recovery after surgery: Current status and future progress

Rollins, Katie E.; Lobo, Dileep N.; Joshi, Girish P.

doi:10.1016/j.bpa.2020.10.001

Cited by 20 publications

(16 citation statements)

References 99 publications

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“…This program is a concept in which multiple disciplines and specialties work together to improve preoperative surgical tolerance, reduce intraoperative stress, and promote rapid postoperative recovery [18]. Although this concept was initially used only in colorectal surgery, it has now been validated in the perioperative surgical period in various studies [19][20][21]. Early-onset scoliosis is a common congenital deformity that causes abnormalities in the patient's appearance, limits thoracic development, affects cardiopulmonary function, and impairs physical and mental health [22][23].…”

Section: Discussionmentioning

confidence: 99%

The Comparison of enhanced recovery after surgery versus traditional pathway in early-onset scoliosis surgery

Jian

Cui

et al. 2023

Preprint

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The optimized enhanced recovery after surgery (ERAS) pathway in patients with early onset scoliosis (EOS) has not yet been comprehensively described. This study explored the efficacy and feasibility of an integral process of the ERAS pathway in posterior spinal fusion (PSF) surgery in EOS patients. A total of 70 patients were included in this study, with 35 patients receiving treatment using an ERAS pathway designed and implemented by a multidisciplinary team. The remaining 35 patients followed the traditional pathway (TP) perioperative care. Patient demographics, radiographic parameters, surgical data, and clinical information were collected and analyzed retrospectively. There were no significant differences in sex, height, weight, age, body mass index, preoperative hemoglobin level, fusion segments, number of screws, Cobb angle of the main curve, or surgical duration between the ERAS and TP groups. Regarding pain intensity, the estimated blood loss (EBL), first ambulation time, length of analgesic use, postoperative length of stay (LOS), drainage duration, drainage volume, and incidence of blood transfusion were significantly lower in the ERAS group than in the TP group. The ERAS pathway in EOS orthopedic surgery effectively reduces intraoperative bleeding, alleviates postoperative pain, reduces com-plications, accelerates recovery, and shortens hospital stays. Therefore, spinal surgeons should adopt the ERAS pathway in EOS surgery.

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Section: Discussionmentioning

confidence: 99%

The Comparison of enhanced recovery after surgery versus traditional pathway in early-onset scoliosis surgery

Jian

Cui

et al. 2023

Preprint

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“…[11–16] For GC, there is also relevant research showing the excellent application effect of ERAS. [17] However, the application of ERAS in GC is controversial because it needs to shorten the postoperative bed time of patients and force them to complete rehabilitation exercises, and some researchers hold that it will aggravate the postoperative injuries of patients. [18]…”

Section: Introductionmentioning

confidence: 99%

Application of enhanced recovery after surgery in perioperative patients undergoing laparoscopic surgery for gastric cancer: A meta-analysis

et al. 2023

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Background: To analyze the effect of enhanced recovery after surgery (ERAS) in perioperative patients undergoing laparoscopic surgery for gastric cancer (GC). Methods: We searched the literature databases of PubMed (https://pubmed.ncbi.nlm.nih.gov/) and Web of Science (https://www.webofscience.com/) for studies related to ERAS and laparoscopic surgery for GC from their inception till October 2022, and the retrieved articles were further screened for analysis. The literature quality was evaluated based on the Cochrane risk of bias tool. The endpoints included the first postoperative exhaust time, first postoperative bowel movement, length of stay, complications and hospitalization expenses. The meta-analysis was performed using RevMan 5.4 software. Results: 11 studies were included, involving 2039 patients. Meta-analysis showed that the first postoperative exhaust and bowel movement were earlier and the length of stay was shorter in the experimental group (e.g.,) than in the control group (CG) (P < .05). Moreover, a lower incidence of complications and markedly reduced hospitalization expenses were determined in for example (P < .05). Due to the heterogeneity in the comparison of indicators such as the first postoperative exhaust and bowel movement across articles, a funnel plot was drawn for observations. The plot was found to be basically symmetrical, indicating small results bias and reliable reference significance of our findings. Conclusion: ERAS for perioperative patients undergoing laparoscopic surgery for GC can effectively shorten the postoperative rehabilitation cycle of patients, improve surgical safety and reduce treatment costs.

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“…In an ERAS rehabilitation progr for orthopedic related surgery, the medical members involved usually consist of orthopedic specialists, nurses, anesthetists and rehabilitation staff. The ERAS rehabilitation program involves a series of components that combine to minimize stress and to facilitate the return of function: these include integrated pre-operative, intra-operative and post-operative management [ 3 , 4 ]. The preoperative management includes mainly educational programs, nutritional management, dietary management, sleep management and pain management; the intraoperative treatment includes four main aspects: selection of anesthesia, goal directed fluid therapy, temperature management and infection prevention [ 5 ]; the postoperative management includes five main aspects: pain management, rehydration management, drainage management, nausea and vomiting control and activity management [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Enhanced Recovery after Surgery Rehabilitation Protocol in the Perioperative Period of Orthopedics: A Systematic Review

Tao

Yan

Bai

et al. 2023

JPM

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Purpose: Enhanced recovery after surgery (ERAS) is a surgical rehabilitation protocol of increasing interest to clinicians in recent years, with the aim of faster and better recovery of patients after surgery. Our main focus in this review is to analyze the effectiveness of ERAS rehabilitation protocols in orthopedic surgery. By comparing the post-operative recovery of patients receiving the ERAS rehabilitation program with that of patients receiving the conventional rehabilitation program, we observed whether the patients who have received the ERAS rehabilitation program could recover better and faster, thereby achieving the aim of a shorter hospital stay and reducing the incidence of complications. Methods: We conducted the literature searches in PubMed, MEDLINE, Web of Science, Cochrane Reviews, EMBASE and other databases on clinical studies related to orthopedic surgery regarding the effectiveness of rehabilitation using ERAS rehabilitation protocols compared with conventional rehabilitation protocols. A systematic review was performed in accordance with the Preferred Reporting Items of Systematic Reviews and Meta-analysis (PRISMA) statement. If there was variability in the rehabilitation data of the patients between the two subgroups, it was considered that there was a difference in the rehabilitation effect of the ERAS rehabilitation protocol and the conventional rehabilitation protocol on the patients. Conclusion: The application of ERAS rehabilitation protocols can shorten patients’ hospital stay and reduce their expenses. In addition, patients with ERAS rehabilitation protocols will have fewer postoperative complications, while patients will have less postoperative pain than those with conventional rehabilitation, facilitating better postoperative recovery.

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Enhanced recovery after surgery: Current status and future progress

Cited by 20 publications

References 99 publications

The Comparison of enhanced recovery after surgery versus traditional pathway in early-onset scoliosis surgery

The Comparison of enhanced recovery after surgery versus traditional pathway in early-onset scoliosis surgery

Application of enhanced recovery after surgery in perioperative patients undergoing laparoscopic surgery for gastric cancer: A meta-analysis

Enhanced Recovery after Surgery Rehabilitation Protocol in the Perioperative Period of Orthopedics: A Systematic Review

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