Enhanced Recovery After Surgery: Are the Principles Applicable to Adult and Geriatric Acute Care and Trauma Surgery?

Mandeep Singh; Reza Askari; Matthias Stopfkuchen-Evans

doi:10.1016/j.anclin.2018.10.001

Enhanced Recovery After Surgery: Are the Principles Applicable to Adult and Geriatric Acute Care and Trauma Surgery?

Anesthesiol Clin. 2019 Mar;37(1):67-77. doi: 10.1016/j.anclin.2018.10.001. Epub 2018 Nov 22.

Authors

Mandeep Singh¹, Reza Askari², Matthias Stopfkuchen-Evans³

Affiliations

¹ Cardiothoracic Anesthesiology and Critical Care, Department of Anesthesiology, Keck Medical Center, University of Southern California, 1450 San Pablo Street, Suite 3600, Los Angeles, CA 90033, USA. Electronic address: [email protected].
² Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
³ Department of Anesthesiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN L1, Boston, MA 02115, USA.

PMID: 30711234
DOI: 10.1016/j.anclin.2018.10.001

Abstract

The incorporation of enhanced recovery after surgery (ERAS) fundamentals into perioperative medicine has improved the patient care experience and hastened recovery time while reducing hospital costs. Research studies have shown that incorporating ERAS principles in the adult or geriatric acute care surgery populations minimizes time to resumption of preoperative activity and reduces hospital length of stay. ERAS principles are widely applicable to these patient cohorts and may be applicable in trauma patients. Increased physician and nursing education to promote widespread utilization of enhanced recovery protocols will further improve quality of health care administered in the twenty-first century.

Keywords: Elderly; Enhanced recovery; Perioperative care; Urgent surgery.

Publication types

Review

MeSH terms

Adult
Aged
Clinical Protocols*
Critical Care / methods*
Geriatrics / methods
Humans
Length of Stay / statistics & numerical data*
Perioperative Care / methods*
Postoperative Complications / prevention & control
Recovery of Function*
Wounds and Injuries / surgery*