Enhanced recovery after thoracic surgery: Systematic review and meta-analysis

Autor: University of North Carolina School of Medicine Enhanced Recovery Program Working Group, Khoury, A.L., Freeman, N.L., El-Zaatari, H., McGinigle, K.L., Long, J.M., Feltner, C.
Jazyk: angličtina
Rok vydání: 2021
DOI: 10.17615/rfbx-ze28
Popis: The enhanced recovery after thoracic surgery (ERATS) protocol has been shown to reduce complications and hospital length of stay (LOS). In thoracic surgery, the prototypical ERATS pathway involves a preoperative phase, which focuses on patient education and smoking cessation; the intraoperative phase incorporates multimodal anesthesia along with minimally invasive surgery (video-assisted thoracoscopic surgery [VATS]); and the postoperative phase emphasizes the use of incentive spirometry, early mobilization, early chest tube and urinary catheter removal. Goal-directed fluid therapy and minimization of opioids is encouraged.
Databáze: OpenAIRE