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Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that uses a combination of evidence-based methods to improve patient care. Different ERAS protocols are used in various surgical fields but for spine surgery there is no widely used standard ERAS protocol. We compiled and examine...

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Autores principales: Naftalovich, Rotem, Singal, Amit, Iskander, Andrew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156499/
https://www.ncbi.nlm.nih.gov/pubmed/35359140
http://dx.doi.org/10.5114/ait.2022.113961
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author Naftalovich, Rotem
Singal, Amit
Iskander, Andrew J.
author_facet Naftalovich, Rotem
Singal, Amit
Iskander, Andrew J.
author_sort Naftalovich, Rotem
collection PubMed
description Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that uses a combination of evidence-based methods to improve patient care. Different ERAS protocols are used in various surgical fields but for spine surgery there is no widely used standard ERAS protocol. We compiled and examined the multiple available publications on ERAS protocols for spine surgery. Some general commonalities exist between ERAS protocols; however, a great deal of variety is observed in the granularity of important details such as differing drug choices or specific dosing. To assess and relate the different available ERAS protocols, we conducted a comprehensive narrative literature review focused on comparing commonalities and differences among the following aspects of ERAS protocols: mechanisms of action, post-surgery pain levels, opioid consumption, utilization of muscle relaxants, use of anti-inflammation drugs, and ambulation after surgery. Our goal in this project was to simplify the search process for institutions who review the literature. In this review, certain ERAS elements such as early ambulation, blood loss, pain management, and patient positioning are further explored in more depth.
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spelling pubmed-101564992023-05-17 Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature Naftalovich, Rotem Singal, Amit Iskander, Andrew J. Anaesthesiol Intensive Ther Review Articles Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that uses a combination of evidence-based methods to improve patient care. Different ERAS protocols are used in various surgical fields but for spine surgery there is no widely used standard ERAS protocol. We compiled and examined the multiple available publications on ERAS protocols for spine surgery. Some general commonalities exist between ERAS protocols; however, a great deal of variety is observed in the granularity of important details such as differing drug choices or specific dosing. To assess and relate the different available ERAS protocols, we conducted a comprehensive narrative literature review focused on comparing commonalities and differences among the following aspects of ERAS protocols: mechanisms of action, post-surgery pain levels, opioid consumption, utilization of muscle relaxants, use of anti-inflammation drugs, and ambulation after surgery. Our goal in this project was to simplify the search process for institutions who review the literature. In this review, certain ERAS elements such as early ambulation, blood loss, pain management, and patient positioning are further explored in more depth. Termedia Publishing House 2022-03-16 /pmc/articles/PMC10156499/ /pubmed/35359140 http://dx.doi.org/10.5114/ait.2022.113961 Text en Copyright © Polish Society of Anaesthesiology and Intensive Therapy https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) ), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Review Articles
Naftalovich, Rotem
Singal, Amit
Iskander, Andrew J.
Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title_full Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title_fullStr Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title_full_unstemmed Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title_short Enhanced Recovery After Surgery (ERAS) protocols for spine surgery – review of literature
title_sort enhanced recovery after surgery (eras) protocols for spine surgery – review of literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156499/
https://www.ncbi.nlm.nih.gov/pubmed/35359140
http://dx.doi.org/10.5114/ait.2022.113961
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