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Enhanced Recovery after Vascular Surgery.

Milena D Stojanovic1, Danica Z Markovic1, Anita Z Vukovic1

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Enhanced Recovery After Surgery (ERAS) programs, initially for colorectal surgery, are expanding to other fields like vascular surgery. Optimizing patient care pre- and post-operatively aims to reduce complications and hospital stays.

Keywords:
intensive carepostoperative managementpreoperative carerecoveryvascular surgery

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Area of Science:

  • Surgical Outcomes
  • Evidence-Based Medicine

Background:

  • Enhanced Recovery After Surgery (ERAS) programs originated in colorectal surgery.
  • ERAS is a multimodal, evidence-based approach optimizing pre-, intra-, and postoperative patient management.
  • The goal is to reduce complications and hospital stay, improving patient outcomes.

Purpose of the Study:

  • To review the application and challenges of ERAS in vascular surgery.
  • To identify key factors influencing postoperative outcomes in major vascular surgery patients.

Main Methods:

  • Review of existing literature and clinical practices regarding ERAS in vascular surgery.
  • Identification of critical elements in preoperative optimization, surgical procedure selection, and postoperative management.

Main Results:

  • Vascular surgery patients face high risks of multiorgan failure postoperatively.
  • Despite efforts, a standardized ERAS protocol for vascular surgery is lacking.
  • Pre-existing conditions, surgery type/duration, hemodynamic management, nutrition, pain control, and early mobilization are crucial factors.

Conclusions:

  • ERAS principles are applicable to vascular surgery but require tailored protocols.
  • Further research is needed to establish a unique, acceptable ERAS program for vascular surgery.
  • Focusing on identified factors can improve postoperative outcomes in this high-risk group.