Articles de revues : « Enhanced recovery pathways »

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Joshi, Girish P., et Henrik Kehlet. « Enhanced Recovery Pathways ». Anesthesia & ; Analgesia 128, n^o 1 (janvier 2019) : 5–7. http://dx.doi.org/10.1213/ane.0000000000003746.

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Durmusoğlu, Fatih, et Erkut Attar. « Enhanced Recovery Pathways in Gynecology ». Journal of Gynecologic Surgery 36, n^o 4 (1 août 2020) : 165–72. http://dx.doi.org/10.1089/gyn.2020.0014.

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Zainfeld, Daniel, Ankeet Shah et Siamak Daneshmand. « Enhanced Recovery After Surgery Pathways ». Urologic Clinics of North America 45, n^o 2 (mai 2018) : 229–39. http://dx.doi.org/10.1016/j.ucl.2017.12.007.

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Cornett, ElyseM, AlanDavid Kaye, RichardD Urman, BrendonM Hart, Azem Chami, JulieA Gayle et CharlesJ Fox. « Enhanced recovery pathways in orthopedic surgery ». Journal of Anaesthesiology Clinical Pharmacology 35, n^o 5 (2019) : 35. http://dx.doi.org/10.4103/joacp.joacp_35_18.

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Nelson, Gregg, Eleftheria Kalogera et Sean C. Dowdy. « Enhanced recovery pathways in gynecologic oncology ». Gynecologic Oncology 135, n^o 3 (décembre 2014) : 586–94. http://dx.doi.org/10.1016/j.ygyno.2014.10.006.

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Barton, Joshua G. « Enhanced Recovery Pathways in Pancreatic Surgery ». Surgical Clinics of North America 96, n^o 6 (décembre 2016) : 1301–12. http://dx.doi.org/10.1016/j.suc.2016.07.003.

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Hegarty, Aoife, et Nirav Shah. « Enhanced recovery : pathways to better care ». British Journal of Hospital Medicine 78, n^o 10 (2 octobre 2017) : 597. http://dx.doi.org/10.12968/hmed.2017.78.10.597.

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Asgeirsson, Theodor, et Anthony J. Senagore. « The Economics of Enhanced Recovery Pathways ». Seminars in Colon and Rectal Surgery 21, n^o 3 (septembre 2010) : 176–79. http://dx.doi.org/10.1053/j.scrs.2010.05.010.

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Arasi, L., J. Stauffer, L. Pereira, T. Taylor-Overholts et H. Asbun. « Enhanced recovery pathways for pancreatic resections ». HPB 19 (avril 2017) : S40—S41. http://dx.doi.org/10.1016/j.hpb.2017.02.019.

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Liu, Henry, Usama Iqbal, JeremyB Green, Srikant Patel, Yiru Tong, Marcus Zebrower, AlanD Kaye, RichardD Urman, MatthewR Eng et ElyseM Cornett. « Preoperative patient preparation in enhanced recovery pathways ». Journal of Anaesthesiology Clinical Pharmacology 35, n^o 5 (2019) : 14. http://dx.doi.org/10.4103/joacp.joacp_54_18.

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Cheung, Christopher K., Janet O. Adeola, Sascha S. Beutler et Richard D. Urman. « Postoperative Pain Management in Enhanced Recovery Pathways ». Journal of Pain Research Volume 15 (janvier 2022) : 123–35. http://dx.doi.org/10.2147/jpr.s231774.

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Lee, Grace, et Richard Hodin. « Applying Enhanced Recovery Pathways to Unique Patient Populations ». Clinics in Colon and Rectal Surgery 32, n^o 02 (28 février 2019) : 134–37. http://dx.doi.org/10.1055/s-0038-1676479.

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AbstractEnhanced Recovery after Surgery (ERAS) pathways have become popular in colorectal surgery due to their associated decrease in length of stay (LOS), complications, and readmission rate. However, it is unclear if these pathways are safe, feasible, or effective in unique patient populations such as elderly patients, urgent/emergent surgeries, patients with specific comorbidities, inflammatory bowel disease, or pediatric patients. Enhanced recovery pathways appear safe in elderly patients, associated with decreased complications, though with slightly lower rates of adherence and increased LOS and readmission rates. Modified ERAS pathways have been applied to urgent and emergent surgeries, resulting in decreased morbidity and LOS. There have been no studies that performed subgroup analyses of ERAS pathways in patients with specific comorbidities. Studies investigating patients with inflammatory bowel disease on enhanced recovery pathways are extremely limited, but suggest that they are safe and feasible. Data on ERAS pathways in pediatric patients are still emerging. Therefore, though data are sparse, enhanced recovery pathways appear to be safe in unique patient populations, with similar efficacy in decreasing LOS and complications. There is an urgent need for more studies investigating these specific patient groups to aid perioperative decision making by colorectal surgeons.

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Crawshaw, Benjamin, Deborah S. Keller et Conor P. Delaney. « Alvimopan and enhanced recovery pathways in colorectal surgery ». Clinical Investigation 4, n^o 2 (février 2014) : 177–83. http://dx.doi.org/10.4155/cli.13.135.

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Zorrilla-Vaca, Andres, Javier D. Lasala et Gabriel E. Mena. « Updates in Enhanced Recovery Pathways for Gynecologic Surgery ». Anesthesiology Clinics 40, n^o 1 (mars 2022) : 157–74. http://dx.doi.org/10.1016/j.anclin.2021.11.008.

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Cornett, ElyseM, Shilpadevi Patil, June Jesunathadas, Kumar Belani, CharlesJ Fox, AlanDavid Kaye, LeeA Lambert et RichardD Urman. « Implementing enhanced recovery pathways to improve surgical outcomes ». Journal of Anaesthesiology Clinical Pharmacology 35, n^o 5 (2019) : 24. http://dx.doi.org/10.4103/joacp.joacp_36_18.

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Brunelli, Alessandro, Andrea Imperatori et Andrea Droghetti. « Enhanced recovery pathways version 2.0 in thoracic surgery ». Journal of Thoracic Disease 10, S4 (mars 2018) : S497—S498. http://dx.doi.org/10.21037/jtd.2017.12.8.

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Brunelli, Alessandro, Andrea Imperatori et Andrea Droghetti. « Enhanced recovery pathways version 2.0 in thoracic surgery ». Journal of Thoracic Disease 10, S4 (mars 2018) : S497—S498. http://dx.doi.org/10.21037/jtd.2017.12.81.

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Markar, S. R., R. Naik, G. Malietzis, L. Halliday, T. Athanasiou et K. Moorthy. « Component analysis of enhanced recovery pathways for esophagectomy ». Diseases of the Esophagus 30, n^o 10 (19 juillet 2017) : 1–10. http://dx.doi.org/10.1093/dote/dox090.

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Stone, Alexander B., Ira L. Leeds, Jonathan Efron et Elizabeth C. Wick. « Enhanced Recovery After Surgery Pathways and Resident Physicians ». Diseases of the Colon & ; Rectum 59, n^o 10 (octobre 2016) : 1000–1001. http://dx.doi.org/10.1097/dcr.0000000000000623.

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Yost, Mark T., Joshua S. Jolissaint, Adam C. Fields et P. Marco Fisichella. « Enhanced Recovery Pathways for Minimally Invasive Esophageal Surgery ». Journal of Laparoendoscopic & ; Advanced Surgical Techniques 28, n^o 5 (mai 2018) : 496–500. http://dx.doi.org/10.1089/lap.2018.0073.

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Barber, Emma L., et Linda Van Le. « Enhanced Recovery Pathways in Gynecology and Gynecologic Oncology ». Obstetrical & ; Gynecological Survey 70, n^o 12 (décembre 2015) : 780–92. http://dx.doi.org/10.1097/ogx.0000000000000259.

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Persing, Sarah, Michele Manahan et Gedge Rosson. « Enhanced Recovery After Surgery Pathways in Breast Reconstruction ». Clinics in Plastic Surgery 47, n^o 2 (avril 2020) : 221–43. http://dx.doi.org/10.1016/j.cps.2019.12.002.

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Ore, Ana Sofia, Matthew A. Shear, Fong W. Liu, John L. Dalrymple, Christopher S. Awtrey, Leslie Garrett, Hannah Stack-Dunnbier, Michele R. Hacker et Katharine McKinley Esselen. « Adoption of enhanced recovery after laparotomy in gynecologic oncology ». International Journal of Gynecologic Cancer 30, n^o 1 (25 novembre 2019) : 122–27. http://dx.doi.org/10.1136/ijgc-2019-000848.

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IntroductionEnhanced recovery after surgery (ERAS) pathways combine a comprehensive set of peri-operative practices that have been demonstrated to hasten patient post-operative recovery. We aimed to evaluate the adoption of ERAS components and assess attitudes towards ERAS among gynecologic oncologists.MethodsWe developed and administered a cross-sectional survey of attending, fellow, and resident physicians who were members of the Society of Gynecologic Oncology in January 2018. The χ2 test was used to compare adherence to individual components of ERAS.ResultsThere was a 23% survey response rate and we analyzed 289 responses: 79% were attending physicians, 57% were from academic institutions, and 64% were from institutions with an established ERAS pathway. Respondents from ERAS institutions were significantly more likely to adhere to recommendations regarding pre-operative fasting for liquids (ERAS 51%, non-ERAS 28%; p<0.001), carbohydrate loading (63% vs 16%; p<0.001), intra-operative fluid management (78% vs 32%; p<0.001), and extended duration of deep vein thrombosis prophylaxis for malignancy (69% vs 55%; p=0.003). We found no difference in the use of mechanical bowel preparation, use of peritoneal drainage, or use of nasogastric tubes between ERAS and non-ERAS institutions. Nearly all respondents (92%) felt that ERAS pathways were safe.DiscussionPracticing at an institution with an ERAS pathway increased adoption of many ERAS elements; however, adherence to certain guidelines remains highly variable. Use of bowel preparation, nasogastric tubes, and peritoneal drainage catheters remain common. Future work should identify barriers to the implementation of ERAS and its components.

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Hubert, Julien, Etienne Bourdages-Pageau, Charles Antoine Paradis Garneau, Catherine Labbé et Paula A. Ugalde. « Enhanced recovery pathways in thoracic surgery : the Quebec experience ». Journal of Thoracic Disease 10, S4 (mars 2018) : S583—S590. http://dx.doi.org/10.21037/jtd.2018.01.156.

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Akar, Firas Abu, Zhigang Chen, Chenlu Yang, Jian Chen et Lei Jiang. « Enhanced recovery pathways in thoracic surgery : the Shanghai experience ». Journal of Thoracic Disease 10, S4 (mars 2018) : S578—S582. http://dx.doi.org/10.21037/jtd.2017.12.140.

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Kumar, Lisa, Amanda H. Kumar, Stuart A. Grant et Jeff Gadsden. « Updates in Enhanced Recovery Pathways for Total Knee Arthroplasty ». Anesthesiology Clinics 36, n^o 3 (septembre 2018) : 375–86. http://dx.doi.org/10.1016/j.anclin.2018.04.007.

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Watson, Donna S. « The Benefits of Enhanced Recovery Pathways in Perioperative Care ». AORN Journal 102, n^o 5 (novembre 2015) : 464–67. http://dx.doi.org/10.1016/j.aorn.2015.09.010.

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Makaryus, R., T. E. Miller et T. J. Gan. « Current concepts of fluid management in enhanced recovery pathways ». British Journal of Anaesthesia 120, n^o 2 (février 2018) : 376–83. http://dx.doi.org/10.1016/j.bja.2017.10.011.

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Pritchard, Mark G., Jacqueline Murphy, Lok Cheng, Roshni Janarthanan, Andrew Judge et Jose Leal. « Enhanced recovery following hip and knee arthroplasty : a systematic review of cost-effectiveness evidence ». BMJ Open 10, n^o 1 (janvier 2020) : e032204. http://dx.doi.org/10.1136/bmjopen-2019-032204.

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AbstractObjectivesTo assess cost-effectiveness of enhanced recovery pathways following total hip and knee arthroplasties. Secondary objectives were to report on quality of studies and identify research gaps for future work.DesignSystematic review of cost–utility analyses.Data sourcesOvid MEDLINE, Embase, the National Health Service Economic Evaluations Database and EconLit, January 2000 to August 2019.Eligibility criteriaEnglish-language peer-reviewed cost–utility analyses of enhanced recovery pathways, or components of one, compared with usual care, in patients having total hip or knee arthroplasties for osteoarthritis.Data extraction and synthesisData extracted by three reviewers with disagreements resolved by a fourth. Study quality assessed using the Consensus on Health Economic Criteria list, the International Society for Pharmacoeconomics and Outcomes Research and Assessment of the Validation Status of Health-Economic decision models tools; for trial-based studies the Cochrane Collaboration’s tool to assess risk of bias. No quantitative synthesis was undertaken.ResultsWe identified 17 studies: five trial-based and 12 model-based studies. Two analyses evaluated entire enhanced recovery pathways and reported them to be cost-effective compared with usual care. Ten pathway components were more effective and cost-saving compared with usual care, three were cost-effective, and two were not cost-effective. We had concerns around risk of bias for all included studies, particularly regarding the short time horizon of the trials and lack of reporting of model validation.ConclusionsConsistent results supported enhanced recovery pathways as a whole, prophylactic systemic antibiotics, antibiotic-impregnated cement and conventional ventilation for infection prevention. No other interventions were subject of more than one study. We found ample scope for future cost-effectiveness studies, particularly analyses of entire recovery pathways and comparison of incremental changes within pathways. A key limitation is that standard practices have changed over the period covered by the included studies.PROSPERO registration numberCRD42017059473.

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Wang, Ying, He Han, Said Abdulrahman Salim Mzee, Deqian Wang, Jixiang Chen et Xin Fan. « Feasibility of ERAS in Patients With Gastric Cancer Complicated by Diabetes Mellitus ». Technology in Cancer Research & ; Treatment 21 (janvier 2022) : 153303382211182. http://dx.doi.org/10.1177/15330338221118211.

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Enhanced Recovery After Surgery (ERAS) is the integration of multiple perioperative evidence-based medical practices into a single pathway aimed at eliminating surgical liabilities and improving treatment accuracy to enhance patients' postoperative outcomes. The ERAS Society has been developing guidelines that are widely applicable in the surgical field. ERAS pathways in selective and noncomplicated cases are extensively practiced. However, the ERAS literature excludes patients with comorbidities, such as gastric cancer complicated with diabetes mellitus (DM). Current ERAS guidelines exclude patients with DM in enhanced recovery programs because of insufficient evidence-based medicine on the molecular physiology of the patients in response to surgical insult. Therefore, it is important to implement accelerated rehabilitation surgery for patients with gastric cancer and DM. This review discusses the feasibility and necessity of applying ERAS guidelines to patients with gastric cancer complicated by DM. In addition, we documented the need to lay a logical foundation for enhanced recovery after surgery in patients with gastric cancer complicated by DM.

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Lee, Grace, Hiren V. Patel, Arnav Srivastava et Saum Ghodoussipour. « Updates on enhanced recovery after surgery for radical cystectomy ». Therapeutic Advances in Urology 14 (janvier 2022) : 175628722211090. http://dx.doi.org/10.1177/17562872221109022.

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Enhanced Recovery after Surgery (ERAS) is a multimodal pathway that provides evidence-based guidance for improving perioperative care and outcomes in patients undergoing surgery. In 2013, the ERAS society released its original guidelines for radical cystectomy (RC) for bladder cancer (BC), adopting much of its supporting data from colorectal literature. In the last decade, growing interest in ERAS has increased RC-specific ERAS research, including prospective randomized controlled trials (RCTs). Collective data suggest ERAS contributes to improved complication rates, decreased hospital length-of-stay, and/or time to bowel recovery. Various institutions have adopted modified versions of the ERAS pathway, yet there remains a lack of consensus on the efficacy of specific ERAS items and standardization of the protocol. In this review, we summarize updated evidence and practice patterns of ERAS pathways for RC since the introduction of the original 2013 guidelines. Novel target interventions, including use of immunonutrition, prehabilitation, alvimopan, and methods of local analgesia are reviewed. Finally, we discuss barriers to implementing and future steps in advancing the ERAS movement.

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John, Joseph B., Anthony Hemsley, Michael Nunns et John S. McGrath. « Time to make enhanced recovery after surgery the standard ». British Journal of Hospital Medicine 81, n^o 3 (2 mars 2020) : 1–4. http://dx.doi.org/10.12968/hmed.2020.0029.

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Multimodality perioperative interventions could accelerate patient recovery and improve cost-effectiveness. An evidence review found an association between enhanced recovery after surgery and decreased length of stay, while complications and recovery time were unchanged or reduced. More specialties should develop and implement enhanced recovery after surgery pathways.

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Pecorelli, Nicolò, Sara Nobile, Stefano Partelli, Luca Cardinali, Stefano Crippa, Gianpaolo Balzano, Luigi Beretta et Massimo Falconi. « Enhanced recovery pathways in pancreatic surgery : State of the art ». World Journal of Gastroenterology 22, n^o 28 (2016) : 6456. http://dx.doi.org/10.3748/wjg.v22.i28.6456.

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Delman, Aaron M., et Robert M. Van Haren. « Commentary : Semper ad meliora : Continuous improvement in enhanced recovery pathways ». JTCVS Open 9 (mars 2022) : 329–30. http://dx.doi.org/10.1016/j.xjon.2021.10.060.

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Helander, Erik M., Craig B. Billeaud, Ryan J. Kline, Patrick I. Emelife, Chris M. Harmon, Amit Prabhakar, Richard D. Urman et Alan D. Kaye. « Multimodal Approaches to Analgesia in Enhanced Recovery After Surgery Pathways ». International Anesthesiology Clinics 55, n^o 4 (2017) : 51–69. http://dx.doi.org/10.1097/aia.0000000000000165.

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Kehlet, Henrik, et Girish P. Joshi. « Anesthesia in Enhanced Recovery Pathways for Hip and Knee Arthroplasty ». Anesthesia & ; Analgesia 128, n^o 4 (avril 2019) : e52. http://dx.doi.org/10.1213/ane.0000000000003867.

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Grocott, Michael P. W., Daniel S. Martin et Michael G. Mythen. « Enhanced recovery pathways as a way to reduce surgical morbidity ». Current Opinion in Critical Care 18, n^o 4 (août 2012) : 385–92. http://dx.doi.org/10.1097/mcc.0b013e3283558968.

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Swart, Michael, et Kerri Houghton. « Pre-operative preparation : Essential elements for delivering enhanced recovery pathways ». Current Anaesthesia & ; Critical Care 21, n^o 3 (juin 2010) : 142–47. http://dx.doi.org/10.1016/j.cacc.2010.02.003.

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Coxon, Astrid, Karina Nielsen, Jane Cross et Chris Fox. « Implementing enhanced recovery pathways : a literature review with realist synthesis ». Hospital Practice 45, n^o 4 (12 juillet 2017) : 165–74. http://dx.doi.org/10.1080/21548331.2017.1351858.

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Tan, Mingjuan, Lawrence Siu-Chun Law et Tong Joo Gan. « Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways ». Canadian Journal of Anesthesia/Journal canadien d'anesthésie 62, n^o 2 (10 décembre 2014) : 203–18. http://dx.doi.org/10.1007/s12630-014-0275-x.

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Riaz, Aaishah, Bilal Umair, Asif Asghar, Muhammad Imtiaz, Raheel Khan et Azfar Bilal. « ENHANCED RECOVERY PATHWAYS (ERAS) IMPLEMENTATION IN MINIMALLY INVASIVE ESOPHAGECTOMY ; AN EARLY EXPERIENCE ». PAFMJ 71, n^o 6 (31 décembre 2021) : 2082–86. http://dx.doi.org/10.51253/pafmj.v6i6.5943.

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Objective: To evaluate the impact of enhanced recovery pathways (ERAS) on hospital stay and postoperative outcomes in patients undergoing minimally invasive esophagectomy in comparison to conventional pathway. Study Design: Quasi experimental study. Place and Duration of Study: Thoracic Surgery Department, Combined Military Hospital Rawalpindi Pakistan, from Jul 2018 to Mar 2020. Methodology: A total of 80 patients who underwent minimally invasive esophagectomy were divided in two groups. Group A underwent ERAS pathway and group B underwent conventional pathway. Both groups were compared for demographic characteristics, mean ICU stay, length of hospital stay, commencement of oral intake, and time of chest drain removal, readmission rates, postoperative morbidity and mortality. Results: There was no significant difference in age, gender and diagnostic indication among both groups. ERAS group was found to have shorter mean ICU stay (1.18 ± 0.55 vs 2.06 ± 1.10 days p<0.012), shorter hospital stay (7.50 ± 1.23 vs 11.6 ± 3.65 days, p<.001), earlier commencement of oral feeding (4.30 ± 1.41 vs 9.10 ± 4.26 days, p<0.001) and early removal of chest drains (3.22 ± vs 4.11 ± 1.52 p<0.001); when compared to conventional group. Overall morbidity in ERAS group was 50 (40%) versus 65% (81.25%) in conventional group. Mortality was same in both groups (2.5%). There was no readmission in ERAS group. Conclusion: ERAS in minimally invasive esophagectomy is safe and has positive impact on postoperative outcomes with marked reduction in overall morbidity in comparison to conventional regime. Results can be enhanced by ensuring better compliance to its.......

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Murphy, Jacqueline, Mark G. Pritchard, Lok Yin Cheng, Roshni Janarthanan et José Leal. « Cost-effectiveness of enhanced recovery in hip and knee replacement : a systematic review protocol ». BMJ Open 8, n^o 3 (mars 2018) : e019740. http://dx.doi.org/10.1136/bmjopen-2017-019740.

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IntroductionHip and knee replacement represents a significant burden to the UK healthcare system. ‘Enhanced recovery’ pathways have been introduced in the National Health Service (NHS) for patients undergoing hip and knee replacement, with the aim of improving outcomes and timely recovery after surgery. To support policymaking, there is a need to evaluate the cost-effectiveness of enhanced recovery pathways across jurisdictions. Our aim is to systematically summarise the published cost-effectiveness evidence on enhanced recovery in hip and knee replacement, both as a whole and for each of the various components of enhanced recovery pathways.Methods and analysisA systematic review will be conducted using MEDLINE, EMBASE, Econlit and the National Health Service Economic Evaluations Database. Separate search strategies were developed for each database including terms relating to hip and knee replacement/arthroplasty, economic evaluations, decision modelling and quality of life measures.We will extract peer-reviewed studies published between 2000 and 2017 reporting economic evaluations of preoperative, perioperative or postoperative enhanced recovery interventions within hip or knee replacement. Economic evaluations alongside cohort studies or based on decision models will be included. Only studies with patients undergoing elective replacement surgery of the hip or knee will be included. Data will be extracted using a predefined pro forma following best practice guidelines for economic evaluation, decision modelling and model validation.Our primary outcome will be the cost-effectiveness of enhanced recovery (entire pathway and individual components) in terms of incremental cost per quality-adjusted life year. A narrative synthesis of all studies will be presented, focussing on cost-effectiveness results, study design, quality and validation status.Ethics and disseminationThis systematic review is exempted from ethics approval because the work is carried out on published documents. The results of the review will be disseminated in a peer-reviewed academic journal and at conferences.PROSPERO registration numberCRD42017059473.

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Chen, Q., E. R. Mariano et A. C. Lu. « Enhanced recovery pathways and patient‐reported outcome measures in gynaecological oncology ». Anaesthesia 76, S4 (7 mars 2021) : 131–38. http://dx.doi.org/10.1111/anae.15422.

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Brunelli, Alessandro. « Enhanced recovery pathways in thoracic surgery : Time for a version 2.0 ». Journal of Thoracic and Cardiovascular Surgery 155, n^o 6 (juin 2018) : 2758–59. http://dx.doi.org/10.1016/j.jtcvs.2018.01.073.

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Macedo, F. I. B., et V. K. Mittal. « Does enhanced recovery pathways affect outcomes in open ventral hernia repair ? » Hernia 21, n^o 5 (16 novembre 2016) : 817–18. http://dx.doi.org/10.1007/s10029-016-1553-z.

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Xu, Ke, Peixi Zhu, Tatiana Colon, Chun Huh et Matthew Balhoff. « A Microfluidic Investigation of the Synergistic Effect of Nanoparticles and Surfactants in Macro-Emulsion-Based Enhanced Oil Recovery ». SPE Journal 22, n^o 02 (23 septembre 2016) : 459–69. http://dx.doi.org/10.2118/179691-pa.

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Summary Injecting oil-in-water (O/W) emulsions stabilized with nanoparticles (NPs) or surfactants is a promising option for enhanced oil recovery (EOR) in harsh-condition reservoirs. Stability and rheology of the flowing emulsion in porous media are key factors for the effectiveness of the EOR method. The objective of this study is to use microfluidics to (1) quantitatively evaluate the synergistic effect of surfactants and NPs on emulsion dynamic stability and how NPs affect the emulsion properties, and to (2) investigate how emulsion properties affect the sweep performance in emulsion flooding. A microfluidic device with well-defined channel geometry of a high-permeability pathway and multiple parallel low-permeability pathways was created to represent a fracture/matrix dual-permeability system. Measurement of droplet coalescence frequency during flow is used to quantify the dynamic stability of emulsions. An NP aqueous suspension (2 wt%) shows excellent ability to stabilize the macro-emulsion when mixed with a trace amount of surfactant (0.05 wt%), revealing a synergistic effect between NPs and surfactant. For a stable emulsion, when a pore throat is present in the high-permeability pathway, it was observed that flowing emulsion droplets compress each other and then block the high-permeability pathway at a throat structure, which forces the wetting phase into low-permeability pathways. Droplet size shows little correlation with this blocking effect. Water content was observed to be much higher in the low-permeability pathways than in the high-permeability pathways, indicating different emulsion texture and viscosity in channels of different sizes. Consequently, the assumption of bulk emulsion viscosity in the porous medium is not applicable in the description and modeling of the emulsion-flooding process. Flow of emulsions stabilized by an NP/surfactant mixture shows droplet packing in high-permeability regions that is denser than those stabilized by surfactant only, at high-permeability regions, which is attributed to the enhanced interaction between droplets caused by NPs in the thin liquid film between neighboring oil/water (O/W) interfaces. This effect is shown to enhance the performance of emulsion-blockage effect for sweep-efficiency improvement, showing the advantage of NPs as an emulsion stabilizer during an emulsion-based EOR process.

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Li, Debbie, et Christine Jensen. « Patient Satisfaction and Quality of Life with Enhanced Recovery Protocols ». Clinics in Colon and Rectal Surgery 32, n^o 02 (28 février 2019) : 138–44. http://dx.doi.org/10.1055/s-0038-1676480.

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AbstractWhile studies have demonstrated the benefits of Enhanced Recovery after Surgery (ERAS) programs in reducing length of stay and costs without increasing complications, fewer studies have evaluated patient satisfaction and quality of life (QOL) with enhanced recovery protocols. The aim of this project was to summarize the literature comparing satisfaction and quality of life after colorectal surgery following treatment within an ERAS protocol to standard postoperative care. The available evidence suggests patients suffer no detriment to satisfaction or quality of life with use of ERAS protocols, and may suffer less fatigue and return to activities sooner. Most publications reported no adverse effects on postoperative pain. However, a limited number of studies suggest patients may experience increased early postoperative pain with ERAS pathways, particularly following open colorectal procedures. Future research should focus on potential improvements in ERAS protocols to better manage postoperative pain. Overall, the evidence supports more widespread implementation of ERAS pathways in colorectal surgery.

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Wainwright, Thomas W., Dorthe Hjort Jakobsen et Henrik Kehlet. « The current and future role of nurses within enhanced recovery after surgery pathways ». British Journal of Nursing 31, n^o 12 (23 juin 2022) : 656–59. http://dx.doi.org/10.12968/bjon.2022.31.12.656.

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Background: Enhanced recovery after surgery (ERAS) pathways have been proven to expedite recovery after many procedures and reduce lengths of stay in hospital and surgical complications. However, improvements are still needed, especially in postoperative ERAS components delivered by nurses such as early mobilisation and oral feeding. This article summarises the current and possible future role of nurses within ERAS, and recommends areas for future research. Discussion: Nurses are the professionals who spend the most time with patients throughout the perioperative pathway and are known to play a vital role in delivering many components of an ERAS pathway. They frequently co-ordinate care across disciplines and ensure continuity of care. However, there is a paucity of ERAS research specific to nurses compared to other professional groups. Continual training on ERAS will be required to ensure nurses are highly educated and for the best possible ERAS implementation. In certain types of surgery, nurses may fulfil extended roles in the postoperative period, such as taking over responsibility and leadership for co-ordinating pain management, mobilisation and discharge. However, this requires a well-defined care programme, a clear definition of nursing responsibilities from surgeons, agreed discharge criteria and highly qualified nurses, along with the collection and analysis of data to test safety and efficacy. Conclusion: Increasing nurse involvement in ERAS research is vital to drive improvements in care and to develop nursing roles. Nurses should have a major role in the preoperative clinic, the early postoperative phase and the follow-up post-discharge period, where the benefits of ERAS need to be further documented.

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Gelman, David, Arūnas Gelmanas, Dalia Urbanaitė, Ramūnas Tamošiūnas, Saulius Sadauskas, Diana Bilskienė, Albinas Naudžiūnas, Edmundas Širvinskas, Rimantas Benetis et Andrius Macas. « Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways ». Medicina 54, n^o 2 (23 avril 2018) : 20. http://dx.doi.org/10.3390/medicina54020020.

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Enhanced recovery after surgery (ERAS) are specially designed multimodal perioperative care pathways which are intended to attain and improve rapid recovery after surgical interventions by supporting preoperative organ function and attenuating the stress response caused by surgical trauma, allowing patients to get back to normal activities as soon as possible. Evidence-based protocols are prepared and published to implement the conception of ERAS. Although they vary amongst health care institutions, the main three elements (preoperative, perioperative, and postoperative components) remain the cornerstones. Postoperative pain influences the quality and length of the postoperative recovery period, and later, the quality of life. Therefore, the optimal postoperative pain management (PPM) applying multimodal analgesia (MA) is one of the most important components of ERAS. The main purpose of this article is to discuss the concept of MA in PPM, particularly reviewing the use of opioid-sparing measures such as paracetamol, nonsteroid anti-inflammatory drugs (NSAIDs), other adjuvants, and regional techniques.

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Triantafyllou, Tania, Michael T. Olson, Dimitrios Theodorou, Dimitrios Schizas et Saurabh Singhal. « Enhanced recovery pathways vs standard care pathways in esophageal cancer surgery : systematic review and meta-analysis ». Esophagus 17, n^o 2 (23 janvier 2020) : 100–112. http://dx.doi.org/10.1007/s10388-020-00718-9.

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