Health Professionals Perception of Enhanced Recovery After Surgery: A Scoping Review

Rosyidah, Rafhani; Dewanto, Agung; Hapsari, Elsi Dwi; Widyastuti, Yunita

doi:10.1016/j.jopan.2022.02.004

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…This could, in turn, hinder ERAS effectiveness—evidently reflected in patient outcomes. 13 More commonly, there may be an inherent learning curve, justifying a necessary learning period for institutions immediately after ERAS implementation. This lag time may represent the timeline needed for teamwork and hospital support to become familiar with the ERAS protocol, allowing for reproducibility of the evidence seen in the literature.…”

Section: Discussionmentioning

confidence: 99%

Opioid Sparing by ERAS Protocol in Cleft Lip and Palate Craniofacial Surgery

Thawanyarat

Waitt

Navarro

et al. 2023

FACE

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Background: Enhanced Recovery After Surgery (ERAS) protocols have been shown to improve both clinical outcomes and cost savings in various perioperative settings. Our study focuses on the effects of ERAS protocol in craniomaxillofacial surgery in a single institution within 2 years leading up to and following implementation. The purpose of this research is to quantify the changes in effective pain management in pediatric patients undergoing craniomaxillofacial procedures before and after our ERAS protocol, which did not include IV acetaminophen. We hypothesize that ERAS protocol, even without IV acetaminophen, will provide effective pain management while decreasing the opioid use4 in the perioperative and postoperative period without associated complications from NSAID therapy. Methods: A retrospective chart review was conducted on 137 pediatric patients that underwent craniofacial surgery between July 1, 2014, and June 30, 2020. Patients were divided into 2 cohorts: Pre-ERAS and Post-ERAS with the implementation of ERAS on July 1, 2017. Results: Post-ERAS cohort showed increased NSAID use in the preoperative and postoperative period for both IV and PO ( P = .006 and P = .0064). Morphine use showed no immediate changes until a year after implementation with a statistically significant reduction ( P = .0051). When stratified by procedure type, IV NSAID (Ketorolac) use increased in Palatoplasty procedures ( P = .0154) while PO NSAID (Ibuprofen) use increased in Cleft Lip Repair ( P = .0224). Conclusion: ERAS protocol implementation can provide benefit for pediatric patients undergoing craniomaxillofacial surgery by decreasing opioid use, even in the absence of IV acetaminophen. Outcomes may potentially be delayed in the immediate post-implementation period. This study can add to the expanding literature for the use of ERAS protocol in craniomaxillofacial surgical settings. Further studies can include analyzing potential barriers to implementation and future complications related to ERAS long term outcomes.

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Section: Discussionmentioning

confidence: 99%

Opioid Sparing by ERAS Protocol in Cleft Lip and Palate Craniofacial Surgery

Thawanyarat

Waitt

Navarro

et al. 2023

FACE

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“…ERAS programs are standardized perioperative care plans that, when combined with an audit system and a dedicated multidisciplinary team, can reduce surgical stress, enhance physiological and functional recovery, reduce length of stay, and reduce complications ( 26 , 27 ). There is increasing evidence to support the success of ERAS for a wide range of surgical procedures, including colorectal, urology, gynecology, and hepatobiliary surgery ( 27 , 28 ). Then the ERAS principles in obstetrical surgery are also being tried ( 6 , 29 ).…”

Section: Discussionmentioning

confidence: 99%

The research frontier of cesarean section recovery: A bibliometric analysis

Zhao¹,

Wei

2022

Front. Med.

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BackgroundCesarean section (CS) has become an effective means to solve dystocia and some obstetric complications, and to save the lives of women and perinatal women. Disparities in quality obstetric care and rehabilitation in CS result from differences in health care systems across regions, and more scientific and reasonable rehabilitation programmes and management measures will benefit more parturient and newborns worldwide who must take CS. In this study, we performed a bibliometric analysis to collect a graphical representation of the CS recovery.MethodsA total of 995 documents of CS recovery were retrieved from the Web of Science Core Collection (WOSCC) on December 31, 2021, and then VOS viewer 1.6.18 was used for visual analysis.ResultsOver the last 20 years, the researches of CS recovery have gradually increased and it will continue to grow in the next period. Anesthesia and Analgesia is the most popular journal in CS recovery. Most of the representative achievements are concentrated in the relevant institutions of European and American countries, Brendan Carvalho and Ian J. Wrench are among the outstanding scholars in this field, but the overall outcome is limited by limited regional work and lack of broad cooperation and representation. “CS,” “surgery,” “management,” “recovery,” “enhanced recovery,” and “risk factors” are high frequency keywords, and there is a close relationship between “management” and “enhanced recovery” around the CS and they also become one of the key factors to regulate the condition of patients.ConclusionThis work firstly analyzed the research condition of CS recovery by a bibliometric analysis. According to the practice guideline, it produces some outstanding representative productions, which involves enhanced recovery after surgery (ERAS) and will continue to be the focus of researchers. More substantive research articles and large-scale clinical studies may greatly enhance the scientific value, and it is necessary to strengthen the ERAS guideline and cooperation between researchers, generate broader consensus and results, and ultimately provide help for CS recovery.

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Quality Indicators for Enhanced Recovery After Surgery (ERAS) Nursing in Cervical Cancer Patients: A Qualitative Study from the Perspectives of Patients and Nurses

Luo,

Ye,

Chen

et al. 2023

Preprint

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Background The quality of nursing of cervical cancer Enhanced Recovery After Surgery care (ERAS) is closely associated with cervical cancer patients and gynaecological nursing staff. However, there is limited previous research on the opinions and views of these two groups regarding the quality indicators. This study aimed to explore the standards and requirements of nursing quality in cervical cancer ERAS care from the perspectives of cervical cancer patients and nursing staff. Methods A descriptive qualitative study was conducted using one-on-one semi-structured interviews between January 2023 and April 2023 with seven cervical cancer patients and twelve gynaecological nursing staff from a tertiary hospital in Guangzhou, China. The interviews were audio-recorded and analysed using thematic analysis. Results Using the structure-process-outcome model as a reference, seven themes were identified, namely: (1) Optimisation and allocation of human resources; (2) Equipment and environmental support; (3) Improvement of the ERAS institutional system; (4) Enhancement of team expertise and professional ethics; (5) Improvement of health education efficiency; (6) Patients’ psychological state and care; (7) Patients’ outcome reporting and auditing. Conclusion This study reveals nursing measures valued by patients and nursing staff in cervical cancer ERAS care, which can be used to assess and enhance the nursing quality of cervical cancer ERAS care.

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Health Professionals Perception of Enhanced Recovery After Surgery: A Scoping Review

Cited by 3 publications

References 30 publications

Opioid Sparing by ERAS Protocol in Cleft Lip and Palate Craniofacial Surgery

Opioid Sparing by ERAS Protocol in Cleft Lip and Palate Craniofacial Surgery

The research frontier of cesarean section recovery: A bibliometric analysis

Quality Indicators for Enhanced Recovery After Surgery (ERAS) Nursing in Cervical Cancer Patients: A Qualitative Study from the Perspectives of Patients and Nurses

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