Enhanced Recovery After Surgery (ERAS) Protocols and Perioperative Lung Protection

Jeffrey Huang
Anesthesiologists of Greater Orlando, Winter Park, Florida, USA.
J Anesth Perioper Med 2014; 1(1): 50- 56 . Published on Sep 16, 2014 . doi:10.24015/JAPM.2014.0008
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Aim of review: Patients are at risk for lung injury in the perioperative period. The enhanced recovery after surgery (ERAS) has been associated with a reduction in duration of hospital stay, readmissions, and reoperations, together with decreased mortality and morbidity, improved pain control, better cost containment, and improved patient satisfaction. 

Method: we review the recent literatures on ERAS for prevention of perioperative pulmonary complications (PPCs). 

Recent findings: Current ERAS protocols include >20 elements. Many elements in ERAS protocol can prevent perioperative lung injury, therefore reduce complications, enhance recovery, reduce length of stay, and lower the cost. Preadmission information, education and counseling, preoperative optimization, prophylaxis against thromboembolism, standard anesthetic protocol, laparoscopy and modifications of surgical access, perioperative fluid management, postoperative analgesia, and early mobilization impact directly on perioperative lung protection. Minimization of preoperative fasting, early resumption of oral intake, avoidance of bowel preparation can reduce the volume of intravenous fluid requirement, indirectly prevent lung injury.

Summary: ERAS elements can prevent lung injury, reduce complications, enhance recovery, reduce length of stay, and lower the cost.



Citation: Jeffrey Huang. Enhanced recovery after surgery (ERAS) protocols and perioperative lung protection. J Anesth Perioper Med 2014; 1: 50-56. doi: 10.24015/JAPM.2014.0008

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