Enhanced recovery after surgery in intramedullary and extramedullary spinal cord lesions: perioperative considerations and recommendations

Long-term Neurologic Outcome After Spinal Ependymoma Resection With Multimodal Intraoperative Electrophysiological Recording: Cohort Study and Review of the Literature

“…Although it has been demonstrated that preoperative neurologic deficits are related to postoperative functional status [ 46 ], our results suggest that electrophysiological “warning signals” may be important regardless of preoperative neurologic evaluation. At our institution, we utilize a > 50% amplitude decrease threshold.…”

“…We thus recommend an institution-specific and tumor-specific enhanced recovery after surgery (ERAS) protocol for SE patients who suffer sustained IONM changes. While an ERAS protocol represents an evidence-based strategy to improve surgical outcomes, it has been studied on only a limited basis for spinal tumors [ 46 ]. Dedicated physical and occupational therapy, adequate pain control with oral medications, early mobilization, and limiting inpatient complications.…”

Patient outcomes following implementation of an enhanced recovery after surgery pathway for patients with metastatic spine tumors

“…[18][19][20] Although there have been few published papers presenting early experiences with ERAS for spine tumors, this study features the largest cohort with the most robust experience specific for metastatic disease. 15,26,27 Our data show a significant reduction in postoperative day 0-5 cumulative mean opioid use with the implementation of the ERAS protocol. Opioid prescribing has long been plagued by the incidence of adverse events resulting in both morbidity and mortality.…”

“…ERAS programs specific to spine surgery have highlighted its value in decreasing complication rate and hospital LOS and optimizing the utilization of both perioperative and postoperative opioids 18–20 . Although there have been few published papers presenting early experiences with ERAS for spine tumors, this study features the largest cohort with the most robust experience specific for metastatic disease 15,26,27 …”

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

“…[39] In ERAS, it is required to strengthen patients health education and psychological nursing during perioperative period, which can effectively eliminate patients concerns about the disease and surgery, and improve their psychological state; Perioperative nutritional support and early rehabilitation training can speed up the recovery of patients gastrointestinal function, which facilitates their recovery on the 1 hand, and reduce the incidence of complications such as pulmonary infection and lower extremity deep venous thrombosis on the other. [40] This is of great significance to shorten the overall rehabilitation cycle of patients, improve the safety of laparoscopic surgery and reduce medical expenses; For medical staff, ERAS not only improves the quality of the overall medical service through multidisciplinary collaboration, but also reduces the workload of nurses, enabling nurses to provide more professional and meticulous services for patients, and significantly improving the treatment experience of patients. In the previous research, we also found that the patients’ satisfaction with treatment was obviously improved after the use of ERAS.…”