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

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

Journal

Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663

Informations de publication

Date de publication:
Jun 2024
Historique:
medline: 6 5 2024
pubmed: 6 5 2024
entrez: 5 5 2024
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.anclin.2023.11.014 PMID: 38705681
pubmed: 38705681
pii: S1932-2275(23)00106-4
doi: 10.1016/j.anclin.2023.11.014
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

345-356

Informations de copyright

Copyright © 2023 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 › 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 › Procédures de chirurgie opératoire › Récupération améliorée après chirurgie › A Look Forward and a Look Back: The Growing...