scholarly journals Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery

2018 ◽  
Vol 35 (6) ◽  
Author(s):  
Michał Pędziwiatr ◽  
Judene Mavrikis ◽  
Jan Witowski ◽  
Alexandros Adamos ◽  
Piotr Major ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Gastrointestinal Surgery ◽  
Current Status ◽  
Eras Protocol

scholarly journals The Pertinent Literature of Enhanced Recovery after Surgery Programs: A Bibliometric Approach

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 172
Author(s):  
Cheng Li ◽  
Yang Cheng ◽  
Zhao Li ◽  
Donara Margaryan ◽  
Carsten Perka ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Bibliometric Analysis ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Linear Regression Analysis ◽  
Gastrointestinal Surgery ◽  
The United States ◽  
Current Status ◽  
Strong Positive Correlation

Background and Objectives: The programs of enhanced recovery after surgery are the new revolution in surgical departments; however, features of this concept have not been systematically explored. Therefore, the purpose of this study was to explore Enhanced recovery after surgery (ERAS)-related research using bibliometric analysis. Materials and Methods: The search strategy of ERAS programs was conducted in the Web of Science database. Bibliometric analysis was further performed by Excel and Bibliometrix software. The relationship between citation counts and Mendeley readers was assessed by linear regression analysis. Results: 8539 studies from 1994–2019 were included in the present research, with reporting studies originating from 91 countries using 18 languages. The United States (US) published the greatest number of articles. International cooperation was discovered in 82 countries, with the most cooperative country being the United Kingdom. Henrik Kehlet was found to have published the highest number of studies. The journal Anesthesia and Analgesia had the largest number of articles. Linear regression analysis presented a strong positive correlation between citations and Mendeley readers. Most research was related to gastrointestinal surgery in this field. Conclusion: This bibliometric analysis shows the current status of ERAS programs from multiple perspectives, and it provides reference and guidance to scholars for further research.

The financial impact of an enhanced recovery after surgery (ERAS) protocol in an academic gynecologic oncology practice

2020 ◽  
Vol 156 (2) ◽  
pp. 284-287 ◽  
Author(s):  
Zachary L. Gentry ◽  
Teresa K.L. Boitano ◽  
Haller J. Smith ◽  
Dustin K. Eads ◽  
John F. Russell ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Gynecologic Oncology ◽  
Financial Impact ◽  
Oncology Practice ◽  
Eras Protocol

scholarly journals The impact of enhanced recovery after surgery (ERAS) protocol compliance on morbidity from resection for primary lung cancer

2018 ◽  
Vol 155 (4) ◽  
pp. 1843-1852 ◽  
Author(s):  
Luke J. Rogers ◽  
David Bleetman ◽  
David E. Messenger ◽  
Natasha A. Joshi ◽  
Lesley Wood ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Primary Lung Cancer ◽  
Protocol Compliance ◽  
Eras Protocol ◽  
The Impact

Observations from Implementation of the ERAS Protocol after DIEP Flap Breast Reconstruction

2021 ◽  
Author(s):  
Nicholas T. Haddock ◽  
Ricardo Garza ◽  
Carolyn E. Boyle ◽  
Sumeet S. Teotia
Keyword(s):  
Breast Reconstruction ◽  
Patient Outcomes ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Compliance Rate ◽  
Fluid Management ◽  
Control Group ◽  
Diep Flap ◽  
Deep Inferior Epigastric Perforator ◽  
Eras Protocol

Abstract Background The Enhanced Recovery After Surgery (ERAS) protocol is a multivariate intervention requiring the help of several departments, including anesthesia, nursing, and surgery. This study seeks to observe ERAS compliance rates and obstacles for its implementation at a single academic institution. Methods This is a retrospective study looking at patients who underwent deep inferior epigastric perforator (DIEP) flap breast reconstruction from January 2016 to September 2019. The ERAS protocol was implemented on select patients early 2017, with patients from 2016 acting as a control. Thirteen points from the protocol were identified and gathered from the patient's electronic medical record (EMR) to evaluate compliance. Results Two hundred and six patients were eligible for the study, with 67 on the control group. An average of 6.97 components were met in the pre-ERAS group. This number rose to 8.33 by the end of 2017. Compliance peaked with 10.53 components met at the beginning of 2019. The interventions most responsible for this increase were administration of preoperative medications, goal-oriented intraoperative fluid management, and administration of scheduled gabapentin postoperatively. The least met criterion was intraoperative ketamine goal of >0.2 mg/kg/h, with a maximum compliance rate of 8.69% of the time. Conclusion The introduction of new protocols can take over a year for full implementation. This is especially true for protocols as complex as an ERAS pathway. Even after years of consistent use, compliance gaps remain. Staff-, patient-, or resource-related issues are responsible for these discrepancies. It is important to identify these issues to address them and optimize patient outcomes.

scholarly journals Creation of an Enhanced Recovery After Surgery (ERAS) Guideline for neonatal intestinal surgery patients: a knowledge synthesis and consensus generation approach and protocol study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023651 ◽  
Author(s):  
Ashleigh C N Gibb ◽  
Megan A Crosby ◽  
Caraline McDiarmid ◽  
Denisa Urban ◽  
Jennifer Y K Lam ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Rapid Review ◽  
Second Phase ◽  
Intestinal Surgery ◽  
Quality Of Evidence ◽  
Modified Delphi ◽  
Human Ethics ◽  
Eras Protocol

IntroductionEnhanced Recovery After Surgery (ERAS) guidelines integrate evidence-based practices into multimodal care pathways designed to optimise patient recovery following surgery. The objective of this project is to create an ERAS protocol for neonatal abdominal surgery. The protocol will identify and attempt to bridge the gaps between current practices and best evidence. Our study is the first paediatric ERAS protocol endorsed by the International ERAS Society.MethodsA research team consisting of international clinical and family stakeholders as well as methodological experts have iteratively defined the scope of the protocol in addition to individual topic areas. A modified Delphi method was used to reach consensus. The second phase will include a series of knowledge syntheses involving a rapid review coupled with expert opinion. Potential protocol elements supported by synthesised evidence will be identified. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system will be used to determine strength of recommendations and the quality of evidence. The third phase will involve creation of the protocol using a modified RAND/UCLA Appropriateness Method. Group consensus will be used to rate each element in relation to the quality of evidence supporting the recommendation and the appropriateness for guideline inclusion. This protocol will form the basis of a future implementation study.Ethics and disseminationThis study has been registered with the ERAS Society. Human ethics approval (REB 18–0579) is in place to engage patient families within protocol development. This research is to be published in peer-reviewed journals and will form the care standard for neonatal intestinal surgery.

Safety of enhanced recovery after surgery (ERAS) protocol in the treatment of patients undergoing pancreatoduodenectomy

2021 ◽  
pp. 19
Author(s):  
K.D. Dalgatov ◽  
M.V. Kozodaeva ◽  
S.M. Titkova ◽  
O.A. Smirnova ◽  
A.V. Sazhin
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Eras Protocol

Application of enhanced recovery after surgery (ERAS) protocol in radical gastrectomy: a systemic review and meta-analysis

2019 ◽  
Vol 96 (1135) ◽  
pp. 257-266 ◽  
Author(s):  
Huang Changsheng ◽  
Shao Shengli ◽  
Feng Yongdong
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
First Passage Time ◽  
Passage Time ◽  
Systemic Review ◽  
Occurrence Rate ◽  
Radical Gastrectomy ◽  
First Passage ◽  
Eras Protocol ◽  
Hospital Days

PurposeThis study aimed to assess the safety and efficiency of the enhanced recovery after surgery (ERAS) protocol in radical gastrectomy.MethodsStudies published before February 2019 were searched from EMBASE, PubMed, Cochrane Library and Quanfang databases without language and region restrictions. A total of 15 randomised controlled trials (RCTs) with 1216 participants were included in the analysis, of whom 605 underwent ERAS protocol and 611 received traditional perioperative treatment for radical gastrectomy.ResultsThere was a significant reduction in pulmonary infection (p=0.02) after radical gastrectomy. Further, there was a significant decrease in the length of postoperative hospital days (p<0.00001), first passage time of defection and flatus (p<0.00001), and medical cost (p<0.0001) in the group that received the ERAS protocol. However, the ERAS protocol group had a higher risk for readmission (p=0.007), vomiting (p=0.002) and gastric retention (p=0.0003) compared with the traditional treatment group.ConclusionsERAS protocol application for radical gastrectomy accelerated postoperative recovery, shortened postoperative hospital days and first passage time of defection and flatus, and saved on medical costs, and did not increase the occurrence rate of severe complications.

The Impact of an Enhanced Recovery after Surgery (ERAS) Protocol Implementation in a Community-Based Hospital.

2020 ◽  
Vol 27 (7) ◽  
pp. S111
Author(s):  
D.A. Escobar Jimenez ◽  
D. Encalada ◽  
M. Teitz ◽  
E. Hemmings ◽  
C. Salafia ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Community Based ◽  
Protocol Implementation ◽  
Eras Protocol ◽  
The Impact

scholarly journals AB047. Audit of enhanced recovery after surgery (ERAS) protocol for elective colorectal surgical procedures

2020 ◽  
Vol 4 ◽  
pp. AB047-AB047
Author(s):  
Syed Mohammad Umar Kabir ◽  
Huilun Huan ◽  
Jing Ting Cheah ◽  
Shenelle Samodee ◽  
Luay Al Milah ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Eras Protocol
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