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E nhanced recovery after surgery ERAS is a comprehensive perioperative care model that optimizes outcomes via standardized, evidence-based interventions. Within orthopedic surgery, ERAS protocols have been widely applied to elective total joint arthroplasty. Despite these positive results, data on the safety, feasibility, and outcomes achieved with ERAS for spine surgery are limited. Although proposals for the suitability, 34 pathway composition, 16 and development 1 of ERAS for complex spine surgery have been made, associated experience and outcomes are currently lacking. One description of an ERAS pathway for patients undergoing surgery for metastatic spine tumor concluded that there was a trend toward better pain scores and decreased opioid consumption in the ERAS cohort, but no significant differences in LOS, day readmission, or complication rates between ERAS and standard care. The goal of the present study was to adapt the ERAS model for lumbar decompression surgery to patients undergoing anterior cervical spine surgery. Here, we describe how the pathway was tailored and applied to 33 patients presenting for anterior cervical discectomy and fusion ACDF or cervical disc arthroplasty CDA in the first 6 months after implementation of the ERAS pathway. We additionally report our initial experience and patient outcomes, including high rates of ERAS compliance, short duration of hospital stay, and minimal complications. We performed a retrospective cohort study of prospectively collected data. Enhanced Recovery After Surgery Eras Are A

Citation: Althobaiti TS, et al.

Ann Med Health Sci Res. Background: Enhanced Recovery after Surgery ERAS protocols are rapidly becoming Atfer standard of care for patients undergoing an elective colorectal surgical operation to speed recovery and decrease the postoperative length of stay LOS and morbidity. Aim: This work aims to determine the efficacy and safety of the Enhanced Recovery Program ERAS on postoperative outcomes in colorectal surgery patients.

Materials and Methods: A systematic search was performed over different medical databases to identify General Surgery studies, which studied the outcome of the ERAS group versus the Conventional group of colorectal surgery patients. Using the meta-analysis process, either with fixed or random-effects models, we conducted a meta-analysis on length of hospital stay as a primary outcome and overall complications and mortality rates as a secondary outcome. Results: Ten studies were identified involving colorectal surgery patients, patients, with patients in the ERAS group, and patients in Enhanced Recovery After Surgery Eras Are A Conventional group.

Conclusion: To conclude, ERAS program is an evidence-based multimodal perioperative protocol focused on stress reduction and the promotion of Surgeey rapid postoperative recovery.

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ERAS helps lowering both recovery time and postoperative complication rates while being cost-effective at the same time. Following predominant surgical treatment, the first days after discharge are a prone time for patients.

This period of vulnerability has previously been defined as a post-hospital syndrome.

Signs, which were not present while in hospital, may arise at home and patients must be capable of determining whether or not those symptoms are a normal part of recovery or whether they indicate the development of a complication. Enhanced Recovery after Surgery ERAS protocols are now the standard care for colorectal surgery patients to speed recovery and decrease the postoperative length of stay LOS and morbidity.

While those protocols encompass numerous Recivery including modified preoperative oral intake, avoidance of mechanical bowel preparation, early postoperative mobilization, and oral intake, and emphasis on laparoscopic surgical technique, one of the cornerstones of ERAS protocols is link usage of multimodal analgesic therapy. ERAS protocols had been introduced in Japan around and were initially introduced in our hospital to patients who underwent colorectal resection in July We previously demonstrated that ERAS protocols helped reduce the length of postoperative hospital stay without adversely affecting morbidity, indicating that ERAS protocols are feasible and effective in Japan, with its unique medical subculture and public health insurance system.]