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Future Perspectives of ERAS: A Narrative Review on the New Applications of an Established Approach
Joint Authors
Fanelli, Guido
Allegri, Massimo
Bellini, Valentina
Fanelli, Andrea
Marchesini, Maurizio
Compagnone, Christian
Baciarello, Marco
Bugada, Dario
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
ERAS approach (Enhanced Recovery After Surgery) is a multimodal, perioperative pathway designed to achieve early recovery after surgery.
ERAS has shown documented efficacy in elective surgery, and the concept of “multimodal” and “multidisciplinary” approach seems still to be of higher importance than each single item within ERAS protocols.
New perspectives include the use of ERAS in emergency surgery, where efficacy and safety on outcome have been documented, and flexibility of traditional items may add benefits for traditionally high-risk patients.
Obstetric surgery, as well, may open wide horizons for future research, since extremely poor data are currently available, and ERAS benefits may translate even on the baby.
Finally, the concept of “outcome” may be extended when considering the specific setting of cancer surgery, in which variables like cancer recurrence, early access to adjuvant therapies, and, finally, long-term survival are as important as the reduced perioperative complications.
In this perspective, different items within ERAS protocols should be reinterpreted and eventually integrated towards “protective” techniques, to develop cancer-specific ERAS approaches keeping pace with the specific aims of oncologic surgery.
American Psychological Association (APA)
Bugada, Dario& Bellini, Valentina& Fanelli, Andrea& Marchesini, Maurizio& Compagnone, Christian& Baciarello, Marco…[et al.]. 2016. Future Perspectives of ERAS: A Narrative Review on the New Applications of an Established Approach. Surgery Research and Practice،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1118441
Modern Language Association (MLA)
Bugada, Dario…[et al.]. Future Perspectives of ERAS: A Narrative Review on the New Applications of an Established Approach. Surgery Research and Practice No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1118441
American Medical Association (AMA)
Bugada, Dario& Bellini, Valentina& Fanelli, Andrea& Marchesini, Maurizio& Compagnone, Christian& Baciarello, Marco…[et al.]. Future Perspectives of ERAS: A Narrative Review on the New Applications of an Established Approach. Surgery Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1118441
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1118441