Enhanced Recovery After Surgery
Autor: | De Villiers A, Parks L, Routt M |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
business.industry MEDLINE Perioperative 030230 surgery Surgical procedures law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030220 oncology & carcinogenesis Perioperative care medicine Intensive care medicine Prospective cohort study business Enhanced recovery after surgery Urinary catheter |
Zdroj: | Journal of the Advanced Practitioner in Oncology. 8 |
ISSN: | 2150-0878 |
DOI: | 10.6004/jadpro.2018.9.5.5 |
Popis: | Enhanced recovery after surgery (ERAS) is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgical procedures. Meta-analyses, randomized controlled trials, and large prospective cohort studies were reviewed. Each item of the perioperative treatment pathway in the English language was examined and reviewed. Enhanced recovery after surgery items that were the strongest predictors for a shorter hospital stay and lower morbidity were absence of a nasogastric tube, early mobilization, early oral nutrition, early removal of the epidural, early removal of the urinary catheter, and utilization of nonopioid analgesia. Based on evidence available for each element of the perioperative care pathway, ERAS provides a protocol for perioperative care. This protocol allows for further evidence-based studies that are adequately powered between institutions. |
Databáze: | OpenAIRE |
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