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Enhanced recovery after surgery:Progress in adapted pathways for implementation in standard and emerging surgical settings

作     者:Mohamed Wishahi Nabawya M Kamal Mohamed Saied Hedaya 

作者机构:Department of UrologyTheodor Bilharz Research InstituteCairo 12411Egypt Department of Anaesthesia and Surgical Intensive CareTheodor Bilharz Research InstituteCairo 12411Egypt Department of SurgeryTheodore Bilharz Research InstituteCairo 12411Egypt 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2024年第12卷第25期

页      面:5636-5641页

学科分类:1011[医学-护理学(可授医学、理学学位)] 10[医学] 

主  题:Enhanced recovery after surgery Anesthesia Nurses Elderly Bowel preparation ERAS Perioperative nutrition Major&ambulatory surgery 

摘      要:The concept of enhanced recovery after surgery(ERAS)has been practiced for decades and has been implemented in numerous surgical *** is a global surgical quality improvement initiative,and it is an element in the field of perioperative *** had shown significant clinical outcomes,patientreported satisfaction,and improvements in medical service *** has been developed for specific surgical procedures,but with the fast progress of newly introduced surgical procedures,the original ERAS have been developed and *** appearing Topics and future research trends encompass ERAS protocols for other types of surgery and the enhancement of perioperative status,including but not limited to pediatric surgery,laparoscopic and robotic assisted surgery,bariatric surgery,thoracic surgery,and renal *** elements and pathways of ERAS have been developed with the introduction of up-to-date methodologies in the pre-operative,operative,and post-operative *** costs are higher than traditional care,but the patient’s clinical outcome and satisfaction are *** is in progress in the fields of anesthetic tasks,pediatric surgery,and organ *** ERAS has shown significant clinical outcomes,there are needs to modify the protocol for specific cases,hospital facilities,resources,and nurses training on elements of *** challenges and limitations exist in the implementation of ERAS that deserve consideration,it includes:Frailty,maximizing nutrition,prehabilitation,treating preoperative anemia,and enhancing ERAS adoption globally are all included.

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