{"title":"颅脑开颅患者手术后增强恢复（ERAS）方案：系统综述。","authors":"Masood Zangi, Mahsa Asadi Anar, Mahdi Amirdosara, Majid Mokhtari, Reza Goharani, Sara Sanei Moghaddam, Omidvar Rezaei, Seyede Hamideh Hashemiyazdi, Mohammadreza Hajiesmaeili","doi":"10.5812/aapm-146811","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>The enhanced recovery after surgery (ERAS) protocol is a multidisciplinary approach aimed at improving surgical outcomes, reducing complications, minimizing hospital stays, and lowering healthcare costs.</p><p><strong>Objectives: </strong>This study assesses the impact of the ERAS protocol on elective craniotomies, a routine procedure in neurosurgery.</p><p><strong>Methods: </strong>A comprehensive search across PubMed, Embase, Scopus, and Web of Science identified 562 articles. Following strict screening criteria, 54 studies were reviewed, and ultimately 10 studies meeting the inclusion criteria were selected for detailed analysis.</p><p><strong>Results: </strong>The review encompassed ten studies [one prospective, one systematic review, and eight randomized controlled trials (RCTs)] published between 2016 and 2023. Key components of the ERAS protocol included preoperative counseling, high-protein intestinal nutrition, preoperative fasting while avoiding carbohydrate intake within 2 hours of surgery, standardized anesthetic and analgesic regimens, and early postoperative initiation of enteral feeding. Postoperative outcomes showed fewer complications, early mobilization, and notably shorter hospital stays, all of which contributed to improved patient recovery.</p><p><strong>Conclusions: </strong>This review demonstrates that the ERAS protocol, when applied to elective craniotomies, is effective in enhancing postoperative recovery, improving functional outcomes, and reducing hospitalization duration.</p>","PeriodicalId":7841,"journal":{"name":"Anesthesiology and Pain Medicine","volume":"14 5","pages":"e146811"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895796/pdf/","citationCount":"0","resultStr":"{\"title\":\"Enhanced Recovery After Surgery (ERAS) Protocol for Craniotomy Patients: A Systematic Review.\",\"authors\":\"Masood Zangi, Mahsa Asadi Anar, Mahdi Amirdosara, Majid Mokhtari, Reza Goharani, Sara Sanei Moghaddam, Omidvar Rezaei, Seyede Hamideh Hashemiyazdi, Mohammadreza Hajiesmaeili\",\"doi\":\"10.5812/aapm-146811\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>The enhanced recovery after surgery (ERAS) protocol is a multidisciplinary approach aimed at improving surgical outcomes, reducing complications, minimizing hospital stays, and lowering healthcare costs.</p><p><strong>Objectives: </strong>This study assesses the impact of the ERAS protocol on elective craniotomies, a routine procedure in neurosurgery.</p><p><strong>Methods: </strong>A comprehensive search across PubMed, Embase, Scopus, and Web of Science identified 562 articles. Following strict screening criteria, 54 studies were reviewed, and ultimately 10 studies meeting the inclusion criteria were selected for detailed analysis.</p><p><strong>Results: </strong>The review encompassed ten studies [one prospective, one systematic review, and eight randomized controlled trials (RCTs)] published between 2016 and 2023. Key components of the ERAS protocol included preoperative counseling, high-protein intestinal nutrition, preoperative fasting while avoiding carbohydrate intake within 2 hours of surgery, standardized anesthetic and analgesic regimens, and early postoperative initiation of enteral feeding. Postoperative outcomes showed fewer complications, early mobilization, and notably shorter hospital stays, all of which contributed to improved patient recovery.</p><p><strong>Conclusions: </strong>This review demonstrates that the ERAS protocol, when applied to elective craniotomies, is effective in enhancing postoperative recovery, improving functional outcomes, and reducing hospitalization duration.</p>\",\"PeriodicalId\":7841,\"journal\":{\"name\":\"Anesthesiology and Pain Medicine\",\"volume\":\"14 5\",\"pages\":\"e146811\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895796/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anesthesiology and Pain Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5812/aapm-146811\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesiology and Pain Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5812/aapm-146811","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
背景：手术后增强恢复（ERAS）方案是一种多学科方法，旨在改善手术结果，减少并发症，减少住院时间，降低医疗费用。目的：本研究评估ERAS方案对选择性开颅手术（一种常规神经外科手术）的影响。方法：在PubMed， Embase， Scopus和Web of Science中进行综合搜索，确定了562篇文章。按照严格的筛选标准，我们对54项研究进行了审查，最终选择了10项符合纳入标准的研究进行详细分析。结果：本综述纳入了2016年至2023年间发表的10项研究[1项前瞻性研究、1项系统评价和8项随机对照试验（rct）]。ERAS方案的关键组成部分包括术前咨询、高蛋白肠道营养、术前禁食并避免手术2小时内摄入碳水化合物、标准化麻醉和镇痛方案以及术后早期开始肠内喂养。术后结果显示并发症减少，活动早期，住院时间明显缩短，所有这些都有助于改善患者的康复。结论：本综述表明，ERAS方案应用于择期开颅手术，可有效提高术后恢复，改善功能预后，缩短住院时间。
Enhanced Recovery After Surgery (ERAS) Protocol for Craniotomy Patients: A Systematic Review.
Context: The enhanced recovery after surgery (ERAS) protocol is a multidisciplinary approach aimed at improving surgical outcomes, reducing complications, minimizing hospital stays, and lowering healthcare costs.
Objectives: This study assesses the impact of the ERAS protocol on elective craniotomies, a routine procedure in neurosurgery.
Methods: A comprehensive search across PubMed, Embase, Scopus, and Web of Science identified 562 articles. Following strict screening criteria, 54 studies were reviewed, and ultimately 10 studies meeting the inclusion criteria were selected for detailed analysis.
Results: The review encompassed ten studies [one prospective, one systematic review, and eight randomized controlled trials (RCTs)] published between 2016 and 2023. Key components of the ERAS protocol included preoperative counseling, high-protein intestinal nutrition, preoperative fasting while avoiding carbohydrate intake within 2 hours of surgery, standardized anesthetic and analgesic regimens, and early postoperative initiation of enteral feeding. Postoperative outcomes showed fewer complications, early mobilization, and notably shorter hospital stays, all of which contributed to improved patient recovery.
Conclusions: This review demonstrates that the ERAS protocol, when applied to elective craniotomies, is effective in enhancing postoperative recovery, improving functional outcomes, and reducing hospitalization duration.
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