کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4287536 1612041 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Implementation of ERAS and how to overcome the barriers
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Implementation of ERAS and how to overcome the barriers
چکیده انگلیسی

BackgroundMultimodal care or Enhanced Recovery after Surgery (ERAS) protocols are gaining popularity in order to modify surgical stress responses after colonic resection. However, these protocols are not straightforward to implement as peri-operative care is varied. We aimed to identify areas that may need attention in order to successfully change practice.MethodThe literature was reviewed for current practice, methods and issues in implementing ERAS. Based on this and our own experience we discuss several important areas that need particular attention in developing and sustaining an ERAS program.ResultsInternational surveys have shown that current peri-operative care in colorectal resection is not evidence based. Important aspects of the ERAS philosophy including patient counselling, teamwork and attitude change are identified and discussed.ConclusionImplementing evidence-based peri-operative care into practice is challenging. Barriers to multimodal recovery pathways should be addressed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 7, Issue 1, 2009, Pages 16–19
نویسندگان
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