TY - JOUR
T1 - Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery
AU - Semenkovich, Tara R.
AU - Hudson, Jessica L.
AU - Subramanian, Melanie
AU - Kozower, Benjamin D.
N1 - Funding Information:
Funding: TRS was supported by the Barnes Jewish Hospital Foundation, National Institutes of Health (NIH) grant no. 2T32HL7776-21, and the Division of Cardiothoracic Surgery at Washington University in St. Louis. JLH was supported by NIH grant no. 5T32CA009621-27. MS was supported by NIH grant no. 2T32HL7776-21.
Publisher Copyright:
© 2018
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.
AB - 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.
KW - enhanced recovery after surgery
KW - perioperative management
KW - pulmonary resection
UR - http://www.scopus.com/inward/record.url?scp=85051558041&partnerID=8YFLogxK
U2 - 10.1053/j.semtcvs.2018.06.001
DO - 10.1053/j.semtcvs.2018.06.001
M3 - Article
C2 - 29940227
AN - SCOPUS:85051558041
SN - 1043-0679
VL - 30
SP - 342
EP - 349
JO - Seminars in thoracic and cardiovascular surgery
JF - Seminars in thoracic and cardiovascular surgery
IS - 3
ER -