Enhanced Recovery After Surgery (ERAS) for Thoracic Surgery

Emily G. Teeter, Gabriel E. Mena, Javier D. Lasala, Lavinia M. Kolarczyk

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

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 languageEnglish (US)
Title of host publicationPrinciples and Practice of Anesthesia for Thoracic Surgery
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages873-884
Number of pages12
ISBN (Electronic)9783030008598
ISBN (Print)9783030008581
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

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

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