A Look Forward and a Look Back: The Growing Role of ERAS Protocols in Orthopedic Surgery.

Anticoagulants Enhanced Recovery After Surgery Humans Orthopedic Procedures / methods Orthopedics Venous Thromboembolism
Ambulatory surgery Clinical pathways ERAS Multimodal analgesia Orthopedic surgery

Journal

Clinics in sports medicine
ISSN: 1556-228X
Titre abrégé: Clin Sports Med
Pays: United States
ID NLM: 8112473

Informations de publication

Date de publication:
Apr 2022
Historique:
entrez: 18 3 2022
pubmed: 19 3 2022
medline: 22 3 2022
Statut: ppublish

Résumé

The success of enhanced recovery after surgery (ERAS) protocols in improving patient outcomes and reducing costs in general surgery are widely recognized. ERAS guidelines have now been developed in orthopedics with the following recommendations. Preoperatively, patients should be medically optimized with a focus on smoking cessation, education, and anxiety reduction. Intraoperatively, using multimodal and regional therapies like neuraxial anesthesia and peripheral nerve blocks facilitates same-day discharge. Postoperatively, early nutrition with appropriate thromboprophylaxis and early mobilization are essential. As the evidence of their improvement in patient outcomes and satisfaction continues, these pathways will prove invaluable in optimizing patient care in orthopedics.

Identifiants

DOI: 10.1016/j.csm.2021.11.007 PMID: 35300845
pubmed: 35300845
pii: S0278-5919(21)00098-3
doi: 10.1016/j.csm.2021.11.007
pii:
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

345-355

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Marissa Weber (M)

Department of Anesthesiology, Weill Cornell Medicine, 525 East 68th Street, Box 124, New York, NY 10065, USA. Electronic address: MarissaWeberMD@gmail.com.

Melissa Chao (M)

Department of Anesthesiology and Pain Medicine, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY 10032, USA.

Simrat Kaur (S)

Virginia Commonwealth University, VCU School of Medicine, VCU Department of Anesthesiology, West Hospital, 1200 East Broad Street, 7th Floor, North Wing, Box 980695, Richmond, Virginia 23298, USA.

Bryant Tran (B)

Virginia Commonwealth University, VCU School of Medicine, VCU Department of Anesthesiology, West Hospital, 1200 East Broad Street, 7th Floor, North Wing, Box 980695, Richmond, Virginia 23298, USA.

Anis Dizdarevic (A)

Department of Anesthesiology and Pain Medicine, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY 10032, USA.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents hématologiques › Anticoagulants › A Look Forward and a Look Back: The Growing...
questionsmedicales.fr › Procédures de chirurgie opératoire › Récupération améliorée après chirurgie › A Look Forward and a Look Back: The Growing...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A Look Forward and a Look Back: The Growing...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › A Look Forward and a Look Back: The Growing...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Orthopédie › A Look Forward and a Look Back: The Growing...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Embolie et thrombose › Thromboembolie › Thromboembolisme veineux › A Look Forward and a Look Back: The Growing...