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Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review

Population aging is an unprecedented, multifactorial, and global process that poses significant challenges to healthcare systems. Enhanced recovery after surgery (ERAS) protocols aim to optimize perioperative care. The first neurosurgical ERAS protocol for elective craniotomy has contributed to a sh...

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Autores principales: Liu, Bolin, Liu, Shujuan, Zheng, Tao, Lu, Dan, Chen, Lei, Ma, Tao, Wang, Yuan, Gao, Guodong, He, Shiming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388027/
https://www.ncbi.nlm.nih.gov/pubmed/35984154
http://dx.doi.org/10.1097/MD.0000000000030043
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author Liu, Bolin
Liu, Shujuan
Zheng, Tao
Lu, Dan
Chen, Lei
Ma, Tao
Wang, Yuan
Gao, Guodong
He, Shiming
author_facet Liu, Bolin
Liu, Shujuan
Zheng, Tao
Lu, Dan
Chen, Lei
Ma, Tao
Wang, Yuan
Gao, Guodong
He, Shiming
author_sort Liu, Bolin
collection PubMed
description Population aging is an unprecedented, multifactorial, and global process that poses significant challenges to healthcare systems. Enhanced recovery after surgery (ERAS) protocols aim to optimize perioperative care. The first neurosurgical ERAS protocol for elective craniotomy has contributed to a shortened postoperative hospital stay, accelerated functional recovery, improved patient satisfaction, and reduced medical care cost in adult patients aged 18 to 65 years compared with conventional perioperative care. However, ERAS protocols for geriatric patients over 65 years of age undergoing cranial surgery are lacking. In this paper, we propose a novel ERAS protocol for such patients by reviewing and summarizing the key elements of successful ERAS protocols/guidelines and optimal perioperative care for geriatric patients described in the literature, as well as our experience in applying the first neurosurgical ERAS protocol for a quality improvement initiative. This proposal aimed to establish an applicable protocol for geriatric patients undergoing elective craniotomy, with evidence addressing its feasibility, safety, and potential efficacy. This multimodal, multidisciplinary, and evidence-based ERAS protocol includes preoperative, intraoperative, and postoperative assessment and management as well as outcome measures. The implementation of the current protocol may hold promise in reducing perioperative morbidity, enhancing functional recovery, improving postoperative outcomes in geriatric patients scheduled for elective craniotomy, and serving as a stepping stone to promote further research into the advancement of geriatric patient care.
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spelling pubmed-93880272022-08-23 Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review Liu, Bolin Liu, Shujuan Zheng, Tao Lu, Dan Chen, Lei Ma, Tao Wang, Yuan Gao, Guodong He, Shiming Medicine (Baltimore) Research Article Population aging is an unprecedented, multifactorial, and global process that poses significant challenges to healthcare systems. Enhanced recovery after surgery (ERAS) protocols aim to optimize perioperative care. The first neurosurgical ERAS protocol for elective craniotomy has contributed to a shortened postoperative hospital stay, accelerated functional recovery, improved patient satisfaction, and reduced medical care cost in adult patients aged 18 to 65 years compared with conventional perioperative care. However, ERAS protocols for geriatric patients over 65 years of age undergoing cranial surgery are lacking. In this paper, we propose a novel ERAS protocol for such patients by reviewing and summarizing the key elements of successful ERAS protocols/guidelines and optimal perioperative care for geriatric patients described in the literature, as well as our experience in applying the first neurosurgical ERAS protocol for a quality improvement initiative. This proposal aimed to establish an applicable protocol for geriatric patients undergoing elective craniotomy, with evidence addressing its feasibility, safety, and potential efficacy. This multimodal, multidisciplinary, and evidence-based ERAS protocol includes preoperative, intraoperative, and postoperative assessment and management as well as outcome measures. The implementation of the current protocol may hold promise in reducing perioperative morbidity, enhancing functional recovery, improving postoperative outcomes in geriatric patients scheduled for elective craniotomy, and serving as a stepping stone to promote further research into the advancement of geriatric patient care. Lippincott Williams & Wilkins 2022-08-19 /pmc/articles/PMC9388027/ /pubmed/35984154 http://dx.doi.org/10.1097/MD.0000000000030043 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Liu, Bolin
Liu, Shujuan
Zheng, Tao
Lu, Dan
Chen, Lei
Ma, Tao
Wang, Yuan
Gao, Guodong
He, Shiming
Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title_full Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title_fullStr Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title_full_unstemmed Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title_short Neurosurgical enhanced recovery after surgery ERAS for geriatric patients undergoing elective craniotomy: A review
title_sort neurosurgical enhanced recovery after surgery eras for geriatric patients undergoing elective craniotomy: a review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388027/
https://www.ncbi.nlm.nih.gov/pubmed/35984154
http://dx.doi.org/10.1097/MD.0000000000030043
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