Enhanced recovery pathways in orthopedic surgery
The enhanced recovery after surgery (ERAS)©concept, sometimes referred to as “fast track”, “accelerated,” or “Rapid Recovery” surgery, was first introduced in 1997. The concept of ERAS targets factors that delay postoperative recovery such as surgical stress and organ dysfunction. ERAS protocols or...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=5;spage=35;epage=39;aulast=Kaye |
| _version_ | 1819095315199819776 |
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| author | Alan David Kaye Richard D Urman Elyse M Cornett Brendon M Hart Azem Chami Julie A Gayle Charles J Fox |
| author_facet | Alan David Kaye Richard D Urman Elyse M Cornett Brendon M Hart Azem Chami Julie A Gayle Charles J Fox |
| author_sort | Alan David Kaye |
| collection | DOAJ |
| description | The enhanced recovery after surgery (ERAS)©concept, sometimes referred to as “fast track”, “accelerated,” or “Rapid Recovery” surgery, was first introduced in 1997. The concept of ERAS targets factors that delay postoperative recovery such as surgical stress and organ dysfunction. ERAS protocols or programs are a care package of evidence-based interventions used in a multimodal and coordinated clinical care pathway. They represent a multidisciplinary approach directed to reducing postoperative complications, shortening length of hospital stay, improving patient satisfaction, and accelerating recovery. ERAS was initially centered on abdominal and colorectal surgery patients; however, ERAS protocols have been widely extended to include other specialties. Orthopedic surgery, particularly elective hip and knee arthroplasty is one of such areas where ERAS principles have been adopted. It has been associated with reduced length of hospital stay, readmission rate, and improved functional recovery. The common interventions used in orthopedic ERAS programs have been divided into those performed in the preoperative, intraoperative, and postoperative phases of care. A PubMed literature search was performed for articles that included the terms enhanced recovery and orthopedic surgery. In this article, we summarized the clinical application of ERAS and highlighted the key elements that characterize an enhanced recovery program. |
| first_indexed | 2024-12-21T23:41:21Z |
| format | Article |
| id | doaj.art-53b3fa4a276440169fc41b2c64cd7bee |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-21T23:41:21Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-53b3fa4a276440169fc41b2c64cd7bee2022-12-21T18:46:13ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852019-01-01355353910.4103/joacp.JOACP_35_18Enhanced recovery pathways in orthopedic surgeryAlan David KayeRichard D UrmanElyse M CornettBrendon M HartAzem ChamiJulie A GayleCharles J FoxThe enhanced recovery after surgery (ERAS)©concept, sometimes referred to as “fast track”, “accelerated,” or “Rapid Recovery” surgery, was first introduced in 1997. The concept of ERAS targets factors that delay postoperative recovery such as surgical stress and organ dysfunction. ERAS protocols or programs are a care package of evidence-based interventions used in a multimodal and coordinated clinical care pathway. They represent a multidisciplinary approach directed to reducing postoperative complications, shortening length of hospital stay, improving patient satisfaction, and accelerating recovery. ERAS was initially centered on abdominal and colorectal surgery patients; however, ERAS protocols have been widely extended to include other specialties. Orthopedic surgery, particularly elective hip and knee arthroplasty is one of such areas where ERAS principles have been adopted. It has been associated with reduced length of hospital stay, readmission rate, and improved functional recovery. The common interventions used in orthopedic ERAS programs have been divided into those performed in the preoperative, intraoperative, and postoperative phases of care. A PubMed literature search was performed for articles that included the terms enhanced recovery and orthopedic surgery. In this article, we summarized the clinical application of ERAS and highlighted the key elements that characterize an enhanced recovery program.http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=5;spage=35;epage=39;aulast=KayeEnhanced recovery after surgerynutritionorthopedic surgerypostoperative carepreoperative care |
| spellingShingle | Alan David Kaye Richard D Urman Elyse M Cornett Brendon M Hart Azem Chami Julie A Gayle Charles J Fox Enhanced recovery pathways in orthopedic surgery Journal of Anaesthesiology Clinical Pharmacology Enhanced recovery after surgery nutrition orthopedic surgery postoperative care preoperative care |
| title | Enhanced recovery pathways in orthopedic surgery |
| title_full | Enhanced recovery pathways in orthopedic surgery |
| title_fullStr | Enhanced recovery pathways in orthopedic surgery |
| title_full_unstemmed | Enhanced recovery pathways in orthopedic surgery |
| title_short | Enhanced recovery pathways in orthopedic surgery |
| title_sort | enhanced recovery pathways in orthopedic surgery |
| topic | Enhanced recovery after surgery nutrition orthopedic surgery postoperative care preoperative care |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=5;spage=35;epage=39;aulast=Kaye |
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