Fast-track surgery and enhanced recovery after surgery (ERAS) programs
Sturm L
Record ID 32010001069
English
Authors' recommendations:
In relation to safety, 2 studies reported that optimized patients had significantly lower mortality and morbidity than conventionally treated patients, with the remainder of studies either reporting no difference between the groups, or not reporting any statistical analyses. There appeared to be little difference in patient-reported pain, although patients in the optimized groups may have had less pain shortly after surgery.
Optimizing conditions before, during, and after surgery reduced the length of hospital stay for patients with no increase in readmission rates. Using the mobilization protocols, patients mobilized faster and spent more time out of bed shortly after surgery. Optimized patients generally had a faster return of gastrointestinal function than conventional patients.
A search of ongoing trials demonstrated that this an area of increasing interest. Some trials currently underway might not be recorded in a manner that notes fast-track surgery to be part of the research, and might instead incorporate it into a study in a different area.
Surgeon interviews showed that many surgical units are investigating some aspects of optimized surgery. General principles were similar, although some followed protocols more strictly than others. Education of all staff in fast-track surgery principles was acknowledged to be important.
Details
Project Status:
Completed
URL for project:
http://www.surgeons.org/Content/NavigationMenu/Research/ASERNIPS/ASERNIPSPublications/RPT_2009-12-09_Enhanced_Patient_Recovery_Programs.pdf
Year Published:
2009
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Critical Pathways
- Length of Stay
- Perioperative Care
- Postoperative Care
- Preoperative Care
- Recovery of Function
Contact
Organisation Name:
Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address:
ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name:
racs.asernip@surgeons.org
Contact Email:
racs.asernip@surgeons.org
Copyright:
Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S)
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