Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery
Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.
Journal: Best Practice and Research: Clinical Anaesthesiology
Volume: 30
Issue: 1
Pages: 91-102
eISSN: 1532-169X
ISSN: 1521-6896
DOI: 10.1016/j.bpa.2015.11.001
Abstract:This article examines the relevance of applying the Enhanced Recovery after Surgery (ERAS) approach to patients undergoing major spinal surgery. The history of ERAS, details of the components of the approach and the underlying rationale are explained. Evidence on outcomes achieved by using the ERAS approach in other orthopaedic and complex surgical procedures is then outlined. Data on major spinal surgery rates and current practice are reviewed; the rationale for using ERAS in major spinal surgery is discussed, and potential challenges to its adoption are acknowledged. A thorough literature search is then undertaken to examine the use of ERAS pathways in major spinal surgery, and the results are presented. The article then reviews the evidence to support the application of individual ERAS components such as patient education, multimodal pain management, surgical approach, blood loss, nutrition and physiotherapy in major spinal surgery, and discusses the need for further robust research to be undertaken. The article concludes that given the rising costs of surgery and levels of patient dissatisfaction, an ERAS pathway that focuses on optimising clinical procedures by adopting evidence-based practice and improving logistics should enable major spinal surgery patients to recover more quickly with lower rates of morbidity and improved longer-term outcomes.
https://eprints.bournemouth.ac.uk/22937/
Source: Scopus
Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery.
Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.
Journal: Best Pract Res Clin Anaesthesiol
Volume: 30
Issue: 1
Pages: 91-102
eISSN: 1878-1608
DOI: 10.1016/j.bpa.2015.11.001
Abstract:This article examines the relevance of applying the Enhanced Recovery after Surgery (ERAS) approach to patients undergoing major spinal surgery. The history of ERAS, details of the components of the approach and the underlying rationale are explained. Evidence on outcomes achieved by using the ERAS approach in other orthopaedic and complex surgical procedures is then outlined. Data on major spinal surgery rates and current practice are reviewed; the rationale for using ERAS in major spinal surgery is discussed, and potential challenges to its adoption are acknowledged. A thorough literature search is then undertaken to examine the use of ERAS pathways in major spinal surgery, and the results are presented. The article then reviews the evidence to support the application of individual ERAS components such as patient education, multimodal pain management, surgical approach, blood loss, nutrition and physiotherapy in major spinal surgery, and discusses the need for further robust research to be undertaken. The article concludes that given the rising costs of surgery and levels of patient dissatisfaction, an ERAS pathway that focuses on optimising clinical procedures by adopting evidence-based practice and improving logistics should enable major spinal surgery patients to recover more quickly with lower rates of morbidity and improved longer-term outcomes.
https://eprints.bournemouth.ac.uk/22937/
Source: PubMed
Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery
Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.
Journal: BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY
Volume: 30
Issue: 1
Pages: 91-102
eISSN: 1878-1608
ISSN: 1521-6896
DOI: 10.1016/j.bpa.2015.11.001
https://eprints.bournemouth.ac.uk/22937/
Source: Web of Science (Lite)
Enhanced Recovery after Surgery (ERAS) and its applicability for major spine surgery
Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.
Journal: Best Practice & Research Clinical Anaesthesiology
DOI: 10.1016/j.bpa.2015.11.001
Abstract:This article examines the relevance of applying the Enhanced Recovery after Surgery (ERAS) approach to patients undergoing major spinal surgery. The history of ERAS, details of the components of the approach, and the underlying rationale are explained. Evidence on outcomes achieved by using the ERAS approach in other orthopaedic and complex surgical procedures are then outlined. Data on major spinal surgery rates and current practice are reviewed and the rationale for the use of ERAS in major spinal surgery is discussed, and potential challenges to its adoption acknowledged. A thorough literature search is then undertaken to examine the use of ERAS pathways in major spinal surgery, and the results presented. The article then reviews the evidence to support the application of individual ERAS components such as patient education, multimodal pain management, surgical approach, blood loss, nutrition, and physiotherapy in major spinal surgery, and discusses the need for further robust research to be undertaken. The article concludes that given the rising costs of surgery and levels of patient dissatisfaction, an ERAS pathway that focuses on optimizing clinical procedures by adopting evidence-based practice, and improving logistics, should enable major spinal surgery patients to recover more quickly with lower rates of morbidity and improved longer term outcomes.
https://eprints.bournemouth.ac.uk/22937/
Source: Manual
Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery.
Authors: Wainwright, T.W., Immins, T. and Middleton, R.G.
Journal: Best practice & research. Clinical anaesthesiology
Volume: 30
Issue: 1
Pages: 91-102
eISSN: 1878-1608
ISSN: 1753-3740
DOI: 10.1016/j.bpa.2015.11.001
Abstract:This article examines the relevance of applying the Enhanced Recovery after Surgery (ERAS) approach to patients undergoing major spinal surgery. The history of ERAS, details of the components of the approach and the underlying rationale are explained. Evidence on outcomes achieved by using the ERAS approach in other orthopaedic and complex surgical procedures is then outlined. Data on major spinal surgery rates and current practice are reviewed; the rationale for using ERAS in major spinal surgery is discussed, and potential challenges to its adoption are acknowledged. A thorough literature search is then undertaken to examine the use of ERAS pathways in major spinal surgery, and the results are presented. The article then reviews the evidence to support the application of individual ERAS components such as patient education, multimodal pain management, surgical approach, blood loss, nutrition and physiotherapy in major spinal surgery, and discusses the need for further robust research to be undertaken. The article concludes that given the rising costs of surgery and levels of patient dissatisfaction, an ERAS pathway that focuses on optimising clinical procedures by adopting evidence-based practice and improving logistics should enable major spinal surgery patients to recover more quickly with lower rates of morbidity and improved longer-term outcomes.
https://eprints.bournemouth.ac.uk/22937/
Source: Europe PubMed Central
Enhanced Recovery after Surgery (ERAS) and its applicability for major spine surgery
Authors: Wainwright, T., Immins, T. and Middleton, R.
Journal: Best Practice & Research Clinical Anaesthesiology
Volume: 30
Issue: 1
Pages: 91-102
ISSN: 1521-6896
Abstract:This article examines the relevance of applying the Enhanced Recovery after Surgery (ERAS) approach to patients undergoing major spinal surgery. The history of ERAS, details of the components of the approach, and the underlying rationale are explained. Evidence on outcomes achieved by using the ERAS approach in other orthopaedic and complex surgical procedures are then outlined. Data on major spinal surgery rates and current practice are reviewed and the rationale for the use of ERAS in major spinal surgery is discussed, and potential challenges to its adoption acknowledged. A thorough literature search is then undertaken to examine the use of ERAS pathways in major spinal surgery, and the results presented. The article then reviews the evidence to support the application of individual ERAS components such as patient education, multimodal pain management, surgical approach, blood loss, nutrition, and physiotherapy in major spinal surgery, and discusses the need for further robust research to be undertaken. The article concludes that given the rising costs of surgery and levels of patient dissatisfaction, an ERAS pathway that focuses on optimizing clinical procedures by adopting evidence-based practice, and improving logistics, should enable major spinal surgery patients to recover more quickly with lower rates of morbidity and improved longer term outcomes.
https://eprints.bournemouth.ac.uk/22937/
Source: BURO EPrints