Development and implementation of a comprehensive spine surgery enhanced recovery after surgery protocol: the Cleveland Clinic experience

被引：67

作者：

Chakravarthy, Vikram B. ^{[1
]}

Yokoi, Hana ^{[3
]}

Coughlin, Daniel J. ^{[1
]}

Manlapaz, Mariel R. ^{[2
]}

Krishnaney, Ajit A. ^{[1
]}

机构：

[1] Cleveland Clin, Lerner Coll Med, Dept Neurosurg, Cleveland, OH 44106 USA

[2] Cleveland Clin, Lerner Coll Med, Dept Anesthesia, Cleveland, OH 44106 USA

[3] Case Western Sch Med, Cleveland, OH USA

来源：

NEUROSURGICAL FOCUS | 2019年 / 46卷 / 04期

关键词：

ERAS; spine surgery; blood management; surgical outcomes; RED-BLOOD-CELL; POSTOPERATIVE OUTCOMES; EPIDURAL ANALGESIA; HEMOGLOBIN A1C; MORTALITY; TRANSFUSION; COMPLICATIONS; ASSOCIATION; PREDICTOR; MORBIDITY;

D O I：

10.3171/2019.1.FOCUS18696

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Enhanced recovery after surgery (ERAS) protocols have been shown to be effective at reducing perioperative morbidity and costs while improving outcomes. To date, spine surgery protocols have been limited in scope, focusing only on specific types of procedures or specific parts of the surgical episode. The authors describe the creation and implementation of one of the first comprehensive ERAS protocols for spine surgery. The protocol is unique in that it has a comprehensive perioperative paradigm encompassing the entire surgical period that is tailored based on the complexity of each individual spine patient.

引用

页数：9

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