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J Neurosurg Anesthesiol · Jul 2024
ReviewDesigning Enhanced Recovery After Surgery Protocols in Neurosurgery: A Contemporary Narrative Review.
- Sagar Jolly, Shashank Paliwal, Aditya Gadepalli, Sheena Chaudhary, Hemant Bhagat, and Rafi Avitsian.
- Department of General Anesthesiology, Cleveland Clinic, OH.
- J Neurosurg Anesthesiol. 2024 Jul 1; 36 (3): 201210201-210.
AbstractEnhanced Recovery After Surgery (ERAS) protocols have revolutionized the approach to perioperative care in various surgical specialties. They reduce complications, improve patient outcomes, and shorten hospital lengths of stay. Implementation of ERAS protocols for neurosurgical procedures has been relatively underexplored and underutilized due to the unique challenges and complexities of neurosurgery. This narrative review explores the barriers to, and pioneering strategies of, standardized procedure-specific ERAS protocols, and the importance of multidisciplinary collaboration in neurosurgery and neuroanesthsia, patient-centered approaches, and continuous quality improvement initiatives, to achieve better patient outcomes. It also discusses initiatives to guide future clinical practice, research, and guideline creation, to foster the development of tailored ERAS protocols in neurosurgery.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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