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Enhanced recovery after vascular surgery: protocol for a systematic review
Lesley Gotlib Conn1, Ori D Rotstein, Elisa Greco
1Department of Surgery, St, Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. GotlibL@smh.ca
Systematic Reviews
|November 6, 2012
Summary
This systematic review examines the evidence for Enhanced Recovery After Surgery (ERAS) programs in vascular surgery. It aims to guide the implementation of ERAS principles for improved patient outcomes in major elective vascular procedures.
Area of Science:
- Surgical Care Improvement
- Evidence-Based Medicine
Background:
- Enhanced Recovery After Surgery (ERAS) is a multimodal approach to surgical care, encompassing preoperative education, reduced perioperative interventions, multimodal analgesia, goal-directed fluid management, early catheter removal, mobilization, and nutrition.
- While ERAS is standard in colorectal surgery, its application in vascular surgery is less established, with limited available evidence.
Purpose of the Study:
- To systematically review the existing literature on ERAS principles in major elective vascular surgery.
- To evaluate the outcomes of ERAS interventions in vascular procedures to inform clinical practice.
Main Methods:
- A systematic literature search of EMBASE, Medline, and Cochrane Central Register of Controlled Trials will be conducted.
- Inclusion criteria comprise randomized controlled trials (RCTs) involving adult patients (≥18 years) undergoing major elective vascular surgery (carotid, bypass, aneurysm, amputation).
- Studies comparing usual care with ERAS interventions across preoperative, perioperative, or postoperative phases will be analyzed for outcomes such as length of stay, complication rates, and patient satisfaction.
Main Results:
- The review will synthesize findings from RCTs on ERAS in vascular surgery.
- Specific outcomes related to length of stay, complication rates, and patient satisfaction will be detailed.
Conclusions:
- A systematic review is timely given the increasing adoption of ERAS components in vascular surgery.
- The findings will provide evidence-based guidance for implementing ERAS in major elective vascular procedures, impacting patient care and outcomes.
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