Enhanced Recovery After Surgery Pathway: How its Implementation Influenced Digestive Surgery Outcomes?
Carolina Tintim and Humberto S Machado*
Largo Professor Abel Salazar, Centro Hospitlar do Porto, Serviço de Anestesiologia, Portugal
- *Corresponding Author:
- Humberto S Machado
Largo Professor Abel Salazar, Centro Hospitlar do Porto
Serviço de Anestesiologia, Portugal
E-mail: [email protected]
Received date: May 19, 2017; Accepted date: June 12, 2017; Published date: June 15, 2017
Citation: Tintim C, Machado HS (2017) Enhanced Recovery After Surgery Pathway: How its Implementation Influenced Digestive Surgery Outcomes?. J Anesth Clin Res 8:730. doi: 10.4172/2155-6148.1000730
Copyright: © 2017 Tintim C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: In recent years, enhanced recovery after surgery protocols have increasingly been integrated into perioperative care of patients undergoing digestive surgery.
Aims: To conduct a non-systematic literature review related to the integration of enhanced recovery after surgery protocols in elective gastrectomy, colonic and rectal surgery, and the impact this had on outcomes.
Methods: The PubMed database was searched to identify studies that focused on the integration of enhanced recovery after surgery protocols in clinical practice, as well as their outcomes. 37 studies fulfilled the inclusion criteria and were reviewed accordingly between the years of 2007 and 2017.
Results: The enhanced recovery after surgery pathway has shown to reduce time to return of bowel function and to minimize length of hospital stay by at least one day, when compared to conventional care, in colorectal surgery and gastrectomy for gastric cancer. Optimal results are achieved with maximum compliance rates.
Conclusions: The enhanced recovery after surgery protocols may be safely implemented in colorectal surgery and gastrectomy for gastric cancer, producing improved patient outcomes. An adequate integration of the enhanced recovery after surgery protocols in these areas, with a high compliance rate, is a step towards a faster return of patients to their baseline activity.