Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery

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...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2018, Vol.30 (3), p.342-349
Main Authors: Semenkovich, Tara R., Hudson, Jessica L., Subramanian, Melanie, Kozower, Benjamin D.
Format: Article
Language:English
Subjects:
Clinical Decision-Making
Critical Pathways
Elective Surgical Procedures
enhanced recovery after surgery
Humans
Length of Stay
Perioperative Care - adverse effects
Perioperative Care - methods
perioperative management
Pneumonectomy - adverse effects
Pneumonectomy - methods
Postoperative Complications - etiology
pulmonary resection
Recovery of Function
Risk Factors
Thoracic Surgery, Video-Assisted - adverse effects
Time Factors
Treatment Outcome
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Summary: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.
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2018.06.001