Abstract
Enhanced recovery after surgery (ERAS) is a multidisciplinary, comprehensive approach to perioperative care that aims to mitigate the stress response to surgery, thus enabling a smoother recovery and faster return to baseline functional status. While still an emerging concept in thoracic surgery, ERAS is comprised of core components that span the pre-operative, intraoperative, and post-operative arenas. The involvement of the anesthesiologist is vital to the success of a thoracic ERAS program. Here we will review the background and core tenets of ERAS, the available literature related to specific components, the barriers to implementation, and the direction for future efforts in this field.
Original language | English (US) |
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Title of host publication | Principles and Practice of Anesthesia for Thoracic Surgery |
Subtitle of host publication | Second Edition |
Publisher | Springer International Publishing |
Pages | 873-884 |
Number of pages | 12 |
ISBN (Electronic) | 9783030008598 |
ISBN (Print) | 9783030008581 |
DOIs | |
State | Published - Jan 1 2019 |
Externally published | Yes |
Keywords
- Enhanced recovery after surgery
- ERAS
- Fast-track thoracic surgery
- Fluid management
- Goal-directed fluid therapy
- Incentive spirometry
- Multimodal analgesia
- Opioid-sparing analgesia
- Prehabilitation
- Protective lung ventilation
- Tobacco cessation
ASJC Scopus subject areas
- General Medicine