Enhanced recovery after surgery (ERAS) and anesthesia

Filiz Alkaya Solmaz; Pakize Kırdemir

doi:10.30565/medalanya.587027

Derleme

Enhanced recovery after surgery (ERAS) and anesthesia

Yıl 2020, Cilt: 4 Sayı: 1, 95 - 101, 02.03.2020

Filiz Alkaya Solmaz Pakize Kırdemir

https://doi.org/10.30565/medalanya.587027

Cited By: 3

Öz

ERAS (Enhanced Recovery After Surgery) is a multimodal approach which aims to optimize perioperative management. ERAS is a combination of changes in preoperative, intraoperative and postoperative care to reduce organ dysfunction and surgical stress response. This concept is managed by multidisciplinary teams that include various areas of expertise to minimize the patient’s surgical stress response, optimize physiological functions, and facilitate healing. In order to further increase these developments in various surgical specialties, protocols have been established on this subject and many health institutions offer their services in this way. With the use of ERAS protocols, perioperative and postoperative complications decreased, patient survival and quality of care improved, and patient satisfaction was significantly increased.

Anahtar Kelimeler

ERAS, Anesthesia, Surgery

Kaynakça

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78(5):606-17. PMID: 9175983
2. Kehlet H, Mogensen T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br J Surg. 1999;86(2):227-30. PMID: 10100792
3. Fearon KC, Ljungqvist O, Von Meyenfeldt M, Revhaug A, Dejong CH, Lassen K, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24(3):466-77. PMID: 15896435
4. ERAS Türkiye Derneği. http://eras.org.tr/. Date of access:04.07.2019
5. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surg. 2017;152(3):292-8. PMID: 28097305
6. Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS((R))) Society recommendations. World J Surg. 2013;37(2):259-84. PMID: 23052794
7. Visioni A, Shah R, Gabriel E, Attwood K, Kukar M, Nurkin S. Enhanced Recovery After Surgery for Noncolorectal Surgery?: A Systematic Review and Meta-analysis of Major Abdominal Surgery. Ann Surg. 2018;267(1):57-65. PMID: 28437313
8. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29(4):434-40. PMID: 20116145
9. Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol. Anaesthesiol Intensive Ther. 2016;48(1):49-54. PMID: 26966110
10. Kahokehr A, Broadbent E, Wheeler BR, Sammour T, Hill AG. The effect of perioperative psychological intervention on fatigue after laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2012;26(6):1730-6. PMID: 22258294
11. Broadbent E, Kahokehr A, Booth RJ, Thomas J, Windsor JA, Buchanan CM, et al. A brief relaxation intervention reduces stress and improves surgical wound healing response: a randomised trial. Brain Behav Immun. 2012;26(2):212-7. PMID: 21741471
12. Thomsen T, Villebro N, Moller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev. 2010(7):CD002294. PMID: 20614429
13. Tonnesen H, Kehlet H. Preoperative alcoholism and postoperative morbidity. Br J Surg. 1999;86(7):869-74. PMID: 10417555
14. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. PMID: 28045707
15. Gustafsson UO, Nygren J, Thorell A, Soop M, Hellstrom PM, Ljungqvist O, et al. Pre-operative carbohydrate loading may be used in type 2 diabetes patients. Acta Anaesthesiol Scand. 2008;52(7):946-51. PMID: 18331374
16. Breuer JP, von Dossow V, von Heymann C, Griesbach M, von Schickfus M, Mackh E, et al. Preoperative oral carbohydrate administration to ASA III-IV patients undergoing elective cardiac surgery. Anesth Analg. 2006;103(5):1099-108. PMID: 17056939
17. Umari M, Falini S, Segat M, Zuliani M, Crisman M, Comuzzi L, et al. Anesthesia and fast-track in video-assisted thoracic surgery (VATS): from evidence to practice. J Thorac Dis. 2018;10(Suppl 4):S542-S54. PMID: 29629201
18. Levy BF, Scott MJ, Fawcett WJ, Day A, Rockall TA. Optimizing patient outcomes in laparoscopic surgery. Colorectal Dis. 2011;13 Suppl 7:8-11. PMID: 22098510
19. Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA, Jr., Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290(18):2455-63. PMID: 14612482
20. Chiu C, Aleshi P, Esserman LJ, Inglis-Arkell C, Yap E, Whitlock EL, et al. Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy. BMC Anesthesiol. 2018;18(1):41. PMID: 29661153
21. Murphy GS, Szokol JW, Avram MJ, Greenberg SB, Marymont JH, Vender JS, et al. Intraoperative acceleromyography monitoring reduces symptoms of muscle weakness and improves quality of recovery in the early postoperative period. Anesthesiology. 2011;115(5):946-54. PMID: 21946094
22. Nelson RL, Glenny AM, Song F. Antimicrobial prophylaxis for colorectal surgery. Cochrane Database Syst Rev. 2009(1):CD001181. PMID: 19160191
23. Steinberg JP, Braun BI, Hellinger WC, Kusek L, Bozikis MR, Bush AJ, et al. Timing of antimicrobial prophylaxis and the risk of surgical site infections: results from the Trial to Reduce Antimicrobial Prophylaxis Errors. Ann Surg. 2009;250(1):10-6. PMID: 19561486
24. Chatterjee S, Rudra A, Sengupta S. Current concepts in the management of postoperative nausea and vomiting. Anesthesiol Res Pract. 2011;2011:748031. PMID:22110499
25. Gan TJ, Meyer TA, Apfel CC, Chung F, Davis PJ, Habib AS, et al. Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007;105(6):1615-28. PMID: 18042859
26. Apfel CC, Kranke P, Eberhart LH, Roos A, Roewer N. Comparison of predictive models for postoperative nausea and vomiting. Br J Anaesth. 2002;88(2):234-40. PMID: 11883387
27. Chandrakantan A, Glass PS. Multimodal therapies for postoperative nausea and vomiting, and pain. Br J Anaesth. 2011;107 Suppl 1:i27-40. PMID: 22156268
28. Drover JW, Dhaliwal R, Weitzel L, Wischmeyer PE, Ochoa JB, Heyland DK. Perioperative use of arginine-supplemented diets: a systematic review of the evidence. J Am Coll Surg. 2011;212(3):385-99, 399.e1. PMID: 21247782
29. Gundogdu RH. Current approach to perioperative nutrition in the ERAS age. Clin Sci Nutr. 2019;1(1):1-10. DOI: 10.5152/ClinSciNutr.2019.79
30. Soop M, Carlson GL, Hopkinson J, Clarke S, Thorell A, Nygren J, et al. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. Br J Surg. 2004;91(9):1138-45. PMID: 15449264
31. Marimuthu K, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of the effect of combinations of immune modulating nutrients on outcome in patients undergoing major open gastrointestinal surgery. Ann Surg. 2012;255(6):1060-8. PMID: 22549749
32. Dağıstanlı S, Uygar Kalaycı M, Kara Y. Evaluation of ERAS Protocol in General Surgery. İKSST Derg. 2018;10(Ek sayı):90-20. DOI:10.5222/iksst.2018.43043

Ameliyat Sonrası Geliştirilmiş İyileşme (ERAS) ve Anestezi

Yıl 2020, Cilt: 4 Sayı: 1, 95 - 101, 02.03.2020

Filiz Alkaya Solmaz Pakize Kırdemir

https://doi.org/10.30565/medalanya.587027

Cited By: 3

Öz

ERAS (Enhanced recovery after surgery) perioperatif yönetimi optimize etmeyi amaçlayan multimodal bir yaklaşımdır. ERAS, organ disfonksiyonunu ve cerrahi stres yanıtını azaltmak için preoperatif, intraoperatif ve postoperatif bakımdaki değişikliklerin bir bütünüdür. Bu kavram hastanın cerrahi stres yanıtını azaltmak, fizyolojik fonksiyonlarını düzeltmek ve iyileşmeyi kolaylaştırmak amacıyla çeşitli uzmanlık alanlarını içeren multidispliner ekipler tarafından yönetilir. Günümüzde değişik cerrahi uzmanlık alanlarında bu gelişmeleri daha da arttırmak amacıyla bu konu ile ilgili protokoller oluşturulmuş ve birçok sağlık kuruluşu hizmetlerini bu kavrama dayalı bir şekilde sunmaktadırlar. ERAS protokollerinin kullanımı ile periopetif ve postoperatif komplikasyonlarda azalma, hasta sağ kalımında ve bakım kalitesinde artış ve hasta memnuniyetinde belirgin gelişmeler sağlanmıştır.

Anahtar Kelimeler

ERAS, Anestezi, Cerrahi

Kaynakça

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78(5):606-17. PMID: 9175983
2. Kehlet H, Mogensen T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br J Surg. 1999;86(2):227-30. PMID: 10100792
3. Fearon KC, Ljungqvist O, Von Meyenfeldt M, Revhaug A, Dejong CH, Lassen K, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24(3):466-77. PMID: 15896435
4. ERAS Türkiye Derneği. http://eras.org.tr/. Date of access:04.07.2019
5. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surg. 2017;152(3):292-8. PMID: 28097305
6. Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS((R))) Society recommendations. World J Surg. 2013;37(2):259-84. PMID: 23052794
7. Visioni A, Shah R, Gabriel E, Attwood K, Kukar M, Nurkin S. Enhanced Recovery After Surgery for Noncolorectal Surgery?: A Systematic Review and Meta-analysis of Major Abdominal Surgery. Ann Surg. 2018;267(1):57-65. PMID: 28437313
8. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29(4):434-40. PMID: 20116145
9. Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol. Anaesthesiol Intensive Ther. 2016;48(1):49-54. PMID: 26966110
10. Kahokehr A, Broadbent E, Wheeler BR, Sammour T, Hill AG. The effect of perioperative psychological intervention on fatigue after laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2012;26(6):1730-6. PMID: 22258294
11. Broadbent E, Kahokehr A, Booth RJ, Thomas J, Windsor JA, Buchanan CM, et al. A brief relaxation intervention reduces stress and improves surgical wound healing response: a randomised trial. Brain Behav Immun. 2012;26(2):212-7. PMID: 21741471
12. Thomsen T, Villebro N, Moller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev. 2010(7):CD002294. PMID: 20614429
13. Tonnesen H, Kehlet H. Preoperative alcoholism and postoperative morbidity. Br J Surg. 1999;86(7):869-74. PMID: 10417555
14. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. PMID: 28045707
15. Gustafsson UO, Nygren J, Thorell A, Soop M, Hellstrom PM, Ljungqvist O, et al. Pre-operative carbohydrate loading may be used in type 2 diabetes patients. Acta Anaesthesiol Scand. 2008;52(7):946-51. PMID: 18331374
16. Breuer JP, von Dossow V, von Heymann C, Griesbach M, von Schickfus M, Mackh E, et al. Preoperative oral carbohydrate administration to ASA III-IV patients undergoing elective cardiac surgery. Anesth Analg. 2006;103(5):1099-108. PMID: 17056939
17. Umari M, Falini S, Segat M, Zuliani M, Crisman M, Comuzzi L, et al. Anesthesia and fast-track in video-assisted thoracic surgery (VATS): from evidence to practice. J Thorac Dis. 2018;10(Suppl 4):S542-S54. PMID: 29629201
18. Levy BF, Scott MJ, Fawcett WJ, Day A, Rockall TA. Optimizing patient outcomes in laparoscopic surgery. Colorectal Dis. 2011;13 Suppl 7:8-11. PMID: 22098510
19. Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA, Jr., Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290(18):2455-63. PMID: 14612482
20. Chiu C, Aleshi P, Esserman LJ, Inglis-Arkell C, Yap E, Whitlock EL, et al. Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy. BMC Anesthesiol. 2018;18(1):41. PMID: 29661153
21. Murphy GS, Szokol JW, Avram MJ, Greenberg SB, Marymont JH, Vender JS, et al. Intraoperative acceleromyography monitoring reduces symptoms of muscle weakness and improves quality of recovery in the early postoperative period. Anesthesiology. 2011;115(5):946-54. PMID: 21946094
22. Nelson RL, Glenny AM, Song F. Antimicrobial prophylaxis for colorectal surgery. Cochrane Database Syst Rev. 2009(1):CD001181. PMID: 19160191
23. Steinberg JP, Braun BI, Hellinger WC, Kusek L, Bozikis MR, Bush AJ, et al. Timing of antimicrobial prophylaxis and the risk of surgical site infections: results from the Trial to Reduce Antimicrobial Prophylaxis Errors. Ann Surg. 2009;250(1):10-6. PMID: 19561486
24. Chatterjee S, Rudra A, Sengupta S. Current concepts in the management of postoperative nausea and vomiting. Anesthesiol Res Pract. 2011;2011:748031. PMID:22110499
25. Gan TJ, Meyer TA, Apfel CC, Chung F, Davis PJ, Habib AS, et al. Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007;105(6):1615-28. PMID: 18042859
26. Apfel CC, Kranke P, Eberhart LH, Roos A, Roewer N. Comparison of predictive models for postoperative nausea and vomiting. Br J Anaesth. 2002;88(2):234-40. PMID: 11883387
27. Chandrakantan A, Glass PS. Multimodal therapies for postoperative nausea and vomiting, and pain. Br J Anaesth. 2011;107 Suppl 1:i27-40. PMID: 22156268
28. Drover JW, Dhaliwal R, Weitzel L, Wischmeyer PE, Ochoa JB, Heyland DK. Perioperative use of arginine-supplemented diets: a systematic review of the evidence. J Am Coll Surg. 2011;212(3):385-99, 399.e1. PMID: 21247782
29. Gundogdu RH. Current approach to perioperative nutrition in the ERAS age. Clin Sci Nutr. 2019;1(1):1-10. DOI: 10.5152/ClinSciNutr.2019.79
30. Soop M, Carlson GL, Hopkinson J, Clarke S, Thorell A, Nygren J, et al. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. Br J Surg. 2004;91(9):1138-45. PMID: 15449264
31. Marimuthu K, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of the effect of combinations of immune modulating nutrients on outcome in patients undergoing major open gastrointestinal surgery. Ann Surg. 2012;255(6):1060-8. PMID: 22549749
32. Dağıstanlı S, Uygar Kalaycı M, Kara Y. Evaluation of ERAS Protocol in General Surgery. İKSST Derg. 2018;10(Ek sayı):90-20. DOI:10.5222/iksst.2018.43043

Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Cerrahi
Bölüm	Derleme
Yazarlar	Filiz Alkaya Solmaz 0000-0001-5772-6708 Pakize Kırdemir 0000-0001-7784-1818
Yayımlanma Tarihi	2 Mart 2020
Gönderilme Tarihi	4 Temmuz 2019
Kabul Tarihi	14 Ekim 2019
Yayımlandığı Sayı	Yıl 2020 Cilt: 4 Sayı: 1

Kaynak Göster

Vancouver	Alkaya Solmaz F, Kırdemir P. Enhanced recovery after surgery (ERAS) and anesthesia. Acta Med. Alanya. 2020;4(1):95-101.

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