Review Article
Enhanced Recovery After Surgery
Lisa Parks,(1) MS, RN, CNP, Meghan Routt,(2) MSN, ANP/GNP-BC, AOCNP®, and Allison De Villiers,(1) MSN, RN, OCN®, ACNS-BC
1)The Ohio State University Wexner Medical Center, James Cancer Hospital, and Solove Research Institute, Columbus, Ohio; 2)University of Utah, Salt Lake City, Utah
Authors’ disclosures of conflicts of interest are found at the end of this article.
Lisa Parks, MS, RN, CNP,
4420 Maynard Road, Delaware, Ohio 43015.
E-mail: lisa.parks@osumc.edu
J Adv Pract Oncol 2018;9(5):511–519 |
https://doi.org/10.6004/jadpro.2018.9.5.5 |
© 2018 Harborside™
ABSTRACT
Abstract
Enhanced recovery after surgery (ERAS) is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgical procedures. Meta-analyses, randomized controlled trials, and large prospective cohort studies were reviewed. Each item of the perioperative treatment pathway in the English language was examined and reviewed. Enhanced recovery after surgery items that were the strongest predictors for a shorter hospital stay and lower morbidity were absence of a nasogastric tube, early mobilization, early oral nutrition, early removal of the epidural, early removal of the urinary catheter, and utilization of nonopioid analgesia. Based on evidence available for each element of the perioperative care pathway, ERAS provides a protocol for perioperative care. This protocol allows for further evidence-based studies that are adequately powered between institutions.
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