Enhanced Recovery After Surgery (ERAS) Protocols and Perioperative Lung Protection

Huang, Jeffrey

doi:10.24015/japm.2014.0008

Cited by 2 publications

(2 citation statements)

References 51 publications

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“…Early mobilization also decreases pulmonary complications like atelectasis in the postoperative period. [4,20,21] For these reasons, its role is significant in patients' returning to daily life. In our study, we've seen that early mobilization results in earlier flatus and lower constipation rates.…”

Section: Discussionmentioning

confidence: 99%

Our experience in perioperative medicine in patients with colorectal surgery

UYSAL

Süren

Doğru

et al. 2022

Journal of Contemporary Medicine

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Aim: ERAS (Enhanced Recovery After Surgery) programmes have been becoming more important day by day. Researchers should compose these type of programmes according to the conditions of their surgical centers. In this study we aimed to demonstrate our experience on enhanced recovery after surgery protocol. Material and Method:To optimize the patients mental and physical status; informative meetings about operation were arrenged with patients and relatives, and walking and respiratory exercises were given to patients. Patients were received either spinal or epidural analgesia for postoperative pain management. After operation patients were followed up at surgical intensive care unit and surgery ward. Pain scores and clinical status of the patients were evaluated.Results: A total of 65 patients were included in this retrospective study. Numerical Rating Scale (NRS) scores found significantly lower in thoracal epidural analgesia group than spinal analgesia group at 6., 12., 24., 48. hours (p=0.036; p=0.002; p=0.002; p=0.003 respectively). Early mobilizated patients oral intake and first flatus time were much earlier. Conclusions:Positive qualitative clinical impacts were determined on patients. Controlling pain at postoperative period is an important part of enhanced recovery programmes. Our protocol was about colorectal surgeries in our hospital but we believe that enhanced recovery protocols should be used for different type of surgeries widespread

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Section: Discussionmentioning

confidence: 99%

Our experience in perioperative medicine in patients with colorectal surgery

UYSAL

Süren

Doğru

et al. 2022

Journal of Contemporary Medicine

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“…It has been strongly correlated with a decrease in the hospital stay duration, readmission rate, and the number of repeat operations. In addition to this, it is linked with a decrease in the morbidity and mortality and has improved pain control, cost containment, and patient satisfaction [5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Reduced Length of Hospital Stay in Laparoscopic Hysterectomy after Implementation of Enhanced Recovery after Surgery (ERAS) Protocol: a Pilot Program Result

Jeffrey¹,

Jessica²,

Lea³

2017

Transl Perioper & Pain Med

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Background: Enhanced Recovery After Surgery (ERAS) is a cohesive perioperative surgical care program, reliant of evidence based medicine, which is utilized to enhance patient care. This is done by minimizing surgical stress, improving functional recovery, reducing complications, as well as facilitating a more rapid hospital discharge. This study analyzed the influence of implementing an enhanced recovery following surgery protocol on patient outcomes in women who have received a laparoscopic hysterectomy procedure. We hypothesized that adoption of an Enhanced Recovery After Surgery (ERAS) protocol would reduce hospital length of stay when contrasted to traditional care.Methods: This study was designed as a retrospective cohort study. Patients assigned to the Enhanced Recovery protocol were analyzed against historic controls from Jan 1, 2014 to March 30, 2014, prior to the implementation of the enhanced recovery protocol. No substantial variations in technology, surgical techniques, took place between the study period and the period from which historic controls were drawn. Outcome measurements included the percentage of patients who were admitted to the hospital after surgery (length of stay), Readmission rates, and complications. Results:The percentage of patients admitted to hospital after surgery (length of stay) was significantly reduced after ERAS implementation (70% vs. 33%) (P < 0.05). This contrasts to the readmission rates and complications which were not significantly altered after ERAS implementation. Conclusion:This small sample sized cohort study demonstrated that the ERAS program in laparoscopic hysterectomy significantly reduces the percentage of patients admitted to hospital after surgery (length of stay), with no increase in patient readmission rates or complications.

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Enhanced Recovery After Surgery (ERAS) Protocols and Perioperative Lung Protection

Cited by 2 publications

References 51 publications

Our experience in perioperative medicine in patients with colorectal surgery

Our experience in perioperative medicine in patients with colorectal surgery

Reduced Length of Hospital Stay in Laparoscopic Hysterectomy after Implementation of Enhanced Recovery after Surgery (ERAS) Protocol: a Pilot Program Result

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