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Updated: Dec 20, 2025

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Enhanced Recovery after Thoracic Surgery.

Linda W Martin1

  • 1Thoracic Surgery, University of Virginia Health System, Charlottesville, Virginia.

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|May 26, 2020
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Summary
This summary is machine-generated.

Enhanced recovery programs (ERPs) reduce surgical stress and opioid use. This review explores ERP guidelines, implementation in lung surgery, and their impact on patient outcomes, potentially mitigating the opioid crisis.

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Area of Science:

  • Thoracic Surgery
  • Anesthesiology
  • Oncology

Background:

  • Enhanced Recovery Programs (ERPs) are multimodal perioperative pathways.
  • ERPs aim to optimize patient recovery and minimize surgical stress.
  • Opioid minimization is a critical goal due to the ongoing opioid crisis.

Purpose of the Study:

  • To describe the principles of enhanced recovery.
  • To outline guidelines for ERP implementation in lung surgery.
  • To review the impact of ERPs on patient outcomes and the opioid crisis.

Main Methods:

  • Literature review of ERP tenets and guidelines.
  • Description of the University of Virginia's ERP development and implementation experience.
  • Analysis of short-term and long-term patient outcomes, including lung cancer-specific results.

Main Results:

  • ERPs can significantly reduce psychological and physiological stress.
  • Implementation of ERPs in lung surgery is feasible and beneficial.
  • ERPs show potential for improving patient outcomes and reducing opioid consumption.

Conclusions:

  • Enhanced Recovery Programs offer a structured approach to surgical recovery.
  • ERPs are a promising strategy for managing pain and reducing opioid dependence post-lung surgery.
  • Further research into long-term and cancer-specific outcomes of ERPs is warranted.