Related Experiment Video
Updated: Feb 6, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.0K
Enhanced Recovery After Shoulder Arthroplasty
Taras Grosh1, Nabil M Elkassabany1
1Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 680, Philadelphia, PA 19104, USA.
Anesthesiology Clinics
|August 11, 2018
Summary
Enhanced recovery after surgery (ERAS) protocols improve patient outcomes and reduce hospital stays. Wider adoption requires addressing resource intensity and incorporating patient-centered quality of life measures.
Area of Science:
- Perioperative Medicine
- Surgical Outcomes Research
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are evidence-based, multidisciplinary care pathways.
- ERAS initiatives have demonstrated significant reductions in hospital length of stay and postoperative complications.
- These protocols aim to optimize patient recovery and improve overall surgical outcomes.
Purpose of the Study:
- To review the components and impact of ERAS protocols, specifically in the context of shoulder arthroplasty.
- To identify barriers to the universal adoption of ERAS protocols.
- To suggest future directions for ERAS protocol development.
Main Methods:
- Literature review and synthesis of existing data on ERAS protocols.
- Analysis of the multidisciplinary approach and multimodal analgesia strategies within ERAS.
- Examination of factors influencing ERAS protocol implementation and patient engagement.
Main Results:
- ERAS protocols have successfully reduced hospital stay and complications while improving patient outcomes.
- Key elements include multidisciplinary collaboration and multimodal analgesia, particularly regional anesthesia for shoulder arthroplasty.
- Barriers to adoption include resource intensity and the need for clinician and patient commitment.
Conclusions:
- ERAS protocols offer substantial benefits in surgical recovery, exemplified by shoulder arthroplasty.
- Overcoming resource demands and ensuring patient engagement are crucial for broader implementation.
- Future ERAS protocols should integrate patient-reported outcomes, including quality of life and functional measures.
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