Anaesthesia role in enhanced recovery after surgery: a revolution in care outcomes

被引:3
作者
de Boer, Hans D. [1 ,4 ]
Scott, Michael J. [2 ]
Fawcett, William J. [3 ]
机构
[1] Martini Gen Hosp Groningen, Dept Anesthesiol Pain Med & Procedural Sedat & Ana, Groningen, Netherlands
[2] Univ Penn, Perelman Sch Med, Dept Anesthesiol & Crit Care Med, Philadelphia, PA USA
[3] Royal Surrey Cty Hosp, Dept Anaesthesia & Pain Med, Guildford, England
[4] Martini Gen Hosp Groningen, Dept Anesthesiol Pain Med & Procedural Sedat & Ana, Swietenplein 1, NL-9728 NT Groningen, Netherlands
关键词
audit of outcomes; enhance recovery after surgery; healthcare economics; healthcare outcomes; implementation; POSTOPERATIVE RECOVERY; RETURN; ERAS;
D O I
10.1097/ACO.0000000000001248
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Purpose of reviewEnhanced recovery after surgery (ERAS) has revolutionized care outcomes. The purpose of this review is to provide an overview of how ERAS changed healthcare outcomes.Recent findingsDevelopment of multidisciplinary evidence-based ERAS guidelines for specific surgical specialties and systematic implementation of these guidelines resulted in improved healthcare outcomes, reduction in length of stay, reduction in complications and improved survival. The value of audit of the outcomes is essential for implementation and to improve healthcare. Healthcare economics analysis related to the implementation of ERAS showed significant cost savings up to a return to investment ratio of more than seven.ERAS has revolutionized healthcare by developing evidence-based ERAS guidelines and systematic implementation of these guidelines. Audit of outcomes is essential, not only to improve healthcare but also to significantly save healthcare expenditures.
引用
收藏
页码:202 / 207
页数:6
相关论文
共 23 条
[1]   Postoperative ERAS Interventions Have the Greatest Impact on Optimal Recovery Experience With Implementation of ERAS Across Multiple Hospitals [J].
Aarts, Mary-Anne ;
Rotstein, Ori D. ;
Pearsall, Emily A. ;
Victor, J. Charles ;
Okrainec, Allan ;
McKenzie, Marg ;
McCluskey, Stuart A. ;
Conn, Lesley Gotlib ;
McLeod, Robin S. .
ANNALS OF SURGERY, 2018, 267 (06) :992-997
[2]   Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries The International Surgical Outcomes Study group [J].
Ahmad, T. ;
Bouwman, R. A. ;
Grigoras, I. ;
Aldecoa, C. ;
Hofer, C. ;
Hoeft, A. ;
Holt, P. ;
Fleisher, L. A. ;
Buhre, W. ;
Pearse, R. M. ;
Ferguson, Marissa ;
MacMahon, Michael ;
Shulman, Mark ;
Cherian, Ritchie ;
Currow, Helen ;
Kanathiban, Kathirgamanathan ;
Gillespie, David ;
Pathmanathan, Edward ;
Phillips, Katherine ;
Reynolds, Jenifer ;
Rowley, Joanne ;
Douglas, Jeanene ;
Kerridge, Ross ;
Garg, Sameer ;
Bennett, Michael ;
Jain, Megha ;
Alcock, David ;
Terblanche, Nico ;
Cotter, Rochelle ;
Leslie, Kate ;
Stewart, Marcelle ;
Zingerle, Nicolette ;
Clyde, Antony ;
Hambidge, Oliver ;
Rehak, Adam ;
Cotterell, Sharon ;
Huynh, Wilson Binh Quan ;
McCulloch, Timothy ;
Ben-Menachem, Erez ;
Egan, Thomas ;
Cope, Jennifer ;
Halliwell, Richard ;
Fellinger, Paul ;
Haisjackl, Markus ;
Haselberger, Simone ;
Holaubek, Caroline ;
Lichtenegger, Paul ;
Scherz, Florian ;
Schmid, Werner ;
Hoffer, Franz .
BRITISH JOURNAL OF ANAESTHESIA, 2016, 117 (05) :601-+
[3]   Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections [J].
Albert, Heather ;
Bataller, Will ;
Masroor, Nadia ;
Doll, Michelle ;
Cooper, Kaila ;
Spencer, Paula ;
Winborne, Donna ;
Zierden, Elaine M. ;
Stevens, Michael P. ;
Scott, Michael ;
Bearman, Gonzalo .
AMERICAN JOURNAL OF INFECTION CONTROL, 2019, 47 (06) :718-719
[4]   Return to Intended Oncologic Treatment (RIOT): A Novel Metric for Evaluating the Quality of Oncosurgical Therapy for Malignancy [J].
Aloia, Thomas A. ;
Zimmitti, Giuseppe ;
Conrad, Claudius ;
Gottumukalla, Vijaya ;
Kopetz, Scott ;
Vauthey, Jean-Nicolas .
JOURNAL OF SURGICAL ONCOLOGY, 2014, 110 (02) :107-114
[5]  
[Anonymous], About Us
[6]   Enhanced Recovery After Surgery (ERAS) in gynecologic oncology: an international survey of peri-operative practice [J].
Bhandoria, Geetu Prakash ;
Bhandarkar, Prashant ;
Ahuja, Vijay ;
Maheshwari, Amita ;
Sekhon, Rupinder K. ;
Gultekin, Murat ;
Ayhan, Ali ;
Demirkiran, Fuat ;
Kahramanoglu, Ilker ;
Wan, Yee-Loi Louise ;
Knapp, Pawel ;
Dobroch, Jakub ;
Zmaczynski, Andrzej ;
Jach, Robert ;
Nelson, Gregg .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2020, 30 (10) :1471-1478
[7]   Postoperative recovery and outcomes - what are we measuring and for whom? [J].
Bowyer, A. J. ;
Royse, C. F. .
ANAESTHESIA, 2016, 71 :72-77
[8]   Recommendations from the ERAS® Society for standards for the development of enhanced recovery after surgery guidelines [J].
Brindle, M. ;
Nelson, G. ;
Lobo, D. N. ;
Ljungqvist, O. ;
Gustafsson, U. O. .
BJS OPEN, 2020, 4 (01) :157-163
[9]   The role of regional anaesthesia in the emerging subspecialty of onco-anaesthesia: a state-of-the-art review [J].
Dockrell, L. ;
Buggy, D. J. .
ANAESTHESIA, 2021, 76 :148-159
[10]   Enhanced recovery: joining the dots [J].
Fawcett, William J. ;
Mythen, Michael G. ;
Scott, Michael J. .
BRITISH JOURNAL OF ANAESTHESIA, 2021, 126 (04) :751-755