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Related Concept Videos

Psychosurgery01:30

Psychosurgery

46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46

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Updated: Jun 8, 2025

A Craniotomy Surgery Procedure for Chronic Brain Imaging
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Enhanced Recovery After Craniotomy: Global Practices, Challenges, and Perspectives.

Anne Di Donato1, Carlos Velásquez2, Caroline Larkin3

  • 1Department of Anesthesia, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

Journal of Neurosurgical Anesthesiology
|November 4, 2024
PubMed
Summary
This summary is machine-generated.

Enhanced Recovery After Surgery (ERAS) protocols can improve patient recovery and reduce costs for craniotomy. Global implementation faces challenges like varied resources and lack of standardized guidelines, necessitating adaptable approaches.

Keywords:
ERAS for craniotomyERAS global perspectiveenhanced recovery in craniotomyhospital cost reductionhospital length of stay

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Area of Science:

  • Neurosurgery
  • Surgical Recovery
  • Healthcare Management

Background:

  • Global demand for hospital care necessitates optimized resource management.
  • Enhanced Recovery After Surgery (ERAS) protocols improve patient recovery and reduce costs but are not fully adopted in neurosurgery, specifically craniotomy.
  • ERAS for craniotomy shows potential for reduced hospital stay, costs, postoperative nausea, and opioid use.

Purpose of the Study:

  • To explore the global landscape of ERAS for craniotomy.
  • To assess existing literature and identify knowledge gaps in ERAS for craniotomy.
  • To provide a comprehensive global overview of ERAS protocol applications, challenges, and future perspectives.

Main Methods:

  • A narrative review of current literature on ERAS for craniotomy.
  • Inclusion of expert insights from 26 countries across all 6 World Health Organization geographical areas.
  • Analysis of implementation barriers and tailored strategies for diverse healthcare systems.

Main Results:

  • ERAS for craniotomy is underutilized globally, with limited standardized guidelines.
  • Key implementation barriers include lack of standardized protocols, provider resistance, resource constraints, insufficient education, and research scarcity.
  • Experts highlighted the need for adaptable ERAS protocols, particularly for low and middle-income countries.

Conclusions:

  • Adaptable ERAS protocols are crucial for craniotomy, considering diverse global healthcare systems and resource availability.
  • Addressing implementation challenges is essential for wider adoption of ERAS in craniotomy worldwide.
  • Further research and standardized guidelines are needed to optimize ERAS for craniotomy globally.