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Enhanced recovery after thoracic anesthesia

In recent years, the concept of “Perioperative Medicine” has been evolved to a more concrete and sophisticated approach called “Enhanced Recovery After Surgery” (ERAS). ERAS has been first introduced in colorectal surgery by a dedicated leading ERAS® society, ERAS-criteria has been subsequently exte...

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Autores principales: Senturk, Mert, Sungur, Zerrin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579505/
https://www.ncbi.nlm.nih.gov/pubmed/34764842
http://dx.doi.org/10.4103/sja.sja_1182_20
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author Senturk, Mert
Sungur, Zerrin
author_facet Senturk, Mert
Sungur, Zerrin
author_sort Senturk, Mert
collection PubMed
description In recent years, the concept of “Perioperative Medicine” has been evolved to a more concrete and sophisticated approach called “Enhanced Recovery After Surgery” (ERAS). ERAS has been first introduced in colorectal surgery by a dedicated leading ERAS® society, ERAS-criteria has been subsequently extended into several types of surgery, including thoracic surgery. Anesthesiology has always been one of the most important components of the multidisciplinary perioperative approaches, which is also valid for ERAS. There are several guidelines published on the enhanced recovery after thoracic surgery (ERATS). This article focuses on the “official” ERATS protocols of a joint consensus of two different societies. Regarding thoracic anesthesia, there are some challenges to be dealt with. The first challenge, although there is a large number of studies published on thoracic anesthesia, only a very few of them have studied the overall outcome and quality of recovery; and only few of them were powered enough to provide sufficient evidence. This has led to the fact that some components of the protocol are debatable. The second challenge, the adherence to individual elements and the overall compliance are poorly reported and also hard to apply even in the best organized centers. This article explains and discusses the debatable viewpoints on the elements of the ERATS protocol published in 2019 aiming to achieve a list for the future steps required for a more effective and evidence-based ERATS protocol.
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spelling pubmed-85795052021-11-10 Enhanced recovery after thoracic anesthesia Senturk, Mert Sungur, Zerrin Saudi J Anaesth Review Article In recent years, the concept of “Perioperative Medicine” has been evolved to a more concrete and sophisticated approach called “Enhanced Recovery After Surgery” (ERAS). ERAS has been first introduced in colorectal surgery by a dedicated leading ERAS® society, ERAS-criteria has been subsequently extended into several types of surgery, including thoracic surgery. Anesthesiology has always been one of the most important components of the multidisciplinary perioperative approaches, which is also valid for ERAS. There are several guidelines published on the enhanced recovery after thoracic surgery (ERATS). This article focuses on the “official” ERATS protocols of a joint consensus of two different societies. Regarding thoracic anesthesia, there are some challenges to be dealt with. The first challenge, although there is a large number of studies published on thoracic anesthesia, only a very few of them have studied the overall outcome and quality of recovery; and only few of them were powered enough to provide sufficient evidence. This has led to the fact that some components of the protocol are debatable. The second challenge, the adherence to individual elements and the overall compliance are poorly reported and also hard to apply even in the best organized centers. This article explains and discusses the debatable viewpoints on the elements of the ERATS protocol published in 2019 aiming to achieve a list for the future steps required for a more effective and evidence-based ERATS protocol. Wolters Kluwer - Medknow 2021 2021-06-19 /pmc/articles/PMC8579505/ /pubmed/34764842 http://dx.doi.org/10.4103/sja.sja_1182_20 Text en Copyright: © 2021 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Senturk, Mert
Sungur, Zerrin
Enhanced recovery after thoracic anesthesia
title Enhanced recovery after thoracic anesthesia
title_full Enhanced recovery after thoracic anesthesia
title_fullStr Enhanced recovery after thoracic anesthesia
title_full_unstemmed Enhanced recovery after thoracic anesthesia
title_short Enhanced recovery after thoracic anesthesia
title_sort enhanced recovery after thoracic anesthesia
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579505/
https://www.ncbi.nlm.nih.gov/pubmed/34764842
http://dx.doi.org/10.4103/sja.sja_1182_20
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