Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery
| Autor: | Melanie P. Subramanian, Tara R. Semenkovich, Benjamin D. Kozower, Jessica L. Hudson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Time Factors Clinical Decision-Making 030204 cardiovascular system & hematology Perioperative Care 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Patient experience medicine Humans In patient Pneumonectomy Enhanced recovery after surgery Hospital readmission Perioperative management Thoracic Surgery Video-Assisted business.industry General surgery Recovery of Function General Medicine Perioperative Length of Stay Treatment Outcome Elective Surgical Procedures Cardiothoracic surgery 030220 oncology & carcinogenesis Critical Pathways Surgery Pulmonary resection Cardiology and Cardiovascular Medicine business |
| Zdroj: | Seminars in Thoracic and Cardiovascular Surgery. 30:342-349 |
| ISSN: | 1043-0679 |
| DOI: | 10.1053/j.semtcvs.2018.06.001 |
| Popis: | Enhanced Recovery After Surgery (ERAS) pathways are protocolled collections of perioperative decisions designed to improve outcomes that are becoming increasingly popular across surgical subspecialties. In this article, we review 5 recent manuscripts focused on ERAS for elective pulmonary resections, focusing on the components of the pathways and the resultant outcomes. Overall, we observed that ERAS protocols can be safely implemented without increasing hospital readmission or mortality. The benefit is largely seen in shortened length of stay, though there is some promise for decreasing rates of important perioperative complications, especially in patients receiving thoracotomies. More research is needed into the specific elements that impact care, as well as the effect on overall patient experience. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect