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Enhanced Recovery After Surgery (ERAS) Protocol for Craniotomy Patients: A Systematic Review
Masood Zangi1, Mahsa Asadi Anar2, Mahdi Amirdosara1
1Critical Care Quality Improvement Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Anesthesiology and Pain Medicine
|March 13, 2025
Summary
The Enhanced Recovery After Surgery (ERAS) protocol improves outcomes for elective craniotomies. This approach reduces complications and hospital stays, leading to better patient recovery in neurosurgery.
Area of Science:
- Neurosurgery
- Surgical Outcomes
- Evidence-Based Medicine
Background:
- The Enhanced Recovery After Surgery (ERAS) protocol is a multimodal perioperative care pathway.
- ERAS aims to optimize surgical patient recovery, minimize complications, and reduce hospital length of stay.
- Its application in neurosurgery, particularly for elective craniotomies, requires further investigation.
Purpose of the Study:
- To evaluate the impact of the ERAS protocol on patients undergoing elective craniotomies.
- To synthesize current evidence on the effectiveness of ERAS in neurosurgical procedures.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed, Embase, Scopus, Web of Science).
- Screening identified 10 relevant studies (1 prospective, 1 systematic review, 8 RCTs) published between 2016-2023.
- Data extraction focused on ERAS components and postoperative outcomes.
Main Results:
- Key ERAS components included preoperative counseling, optimized nutrition, modified fasting, standardized anesthesia/analgesia, and early enteral feeding.
- Patients managed with ERAS experienced fewer postoperative complications.
- Significant reductions in hospital stay duration and enhanced functional recovery were observed.
Conclusions:
- The ERAS protocol is effective in improving postoperative recovery for elective craniotomies.
- Implementation of ERAS enhances functional outcomes and shortens hospitalization.
- ERAS represents a valuable strategy for optimizing neurosurgical patient care.
