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Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery
Tara R Semenkovich1, Jessica L Hudson1, Melanie Subramanian1
1Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, Missouri.
Seminars in Thoracic and Cardiovascular Surgery
|June 26, 2018
Summary
Enhanced Recovery After Surgery (ERAS) protocols for lung surgery safely reduce hospital stays without increasing readmissions or mortality. Further research is needed to optimize ERAS components and patient experience.
Area of Science:
- Thoracic Surgery
- Perioperative Care
- Surgical Outcomes
Background:
- Enhanced Recovery After Surgery (ERAS) pathways are evidence-based, multidisciplinary protocols designed to optimize patient recovery.
- ERAS protocols are increasingly adopted across various surgical specialties, including thoracic surgery.
- Elective pulmonary resections are common procedures where ERAS implementation is being explored.
Purpose of the Study:
- To review recent literature on ERAS pathways specifically for elective pulmonary resections.
- To analyze the components of ERAS protocols in this context.
- To evaluate the outcomes associated with ERAS implementation in pulmonary surgery.
Main Methods:
- Systematic review of 5 recent manuscripts focusing on ERAS for elective pulmonary resections.
- Analysis of ERAS pathway components and reported patient outcomes.
- Assessment of safety, efficacy, and impact on hospital stay and complications.
Main Results:
- ERAS protocols can be safely implemented for elective pulmonary resections.
- No increase in hospital readmission or mortality rates was observed.
- Significant reduction in length of hospital stay was a primary benefit.
- Potential decrease in perioperative complications, particularly for thoracotomies.
Conclusions:
- ERAS pathways are safe and effective for elective pulmonary resections.
- Key benefits include reduced length of stay and potential complication reduction.
- Further investigation into specific ERAS elements and their impact on patient experience is warranted.
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