Framework, component, and implementation of enhanced recovery pathways
Chao-Ying Kowa1, Zhaosheng Jin2, Tong J Gan3
1Department of Anaesthesia, Whittington Hospital, Magdala Ave, London, N19 5NF, UK.
Abstract:
The introduction of enhanced recovery pathways (ERPs) has led to a considerable paradigm shift towards evidence-based, multidisciplinary perioperative care. Such pathways are now widely implemented in a variety of surgical specialties, with largely positive results. In this narrative review, we summarize the principles, components and implementation of ERPs, focusing on recent developments in the field. We also discuss 'special cases' in ERPs, including: surgery in frail patients; emergency procedures; and patients with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2/COVID-19).
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