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2022, Number 2

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Revista Cubana de Cirugía 2022; 61 (2)

ERATS protocol in pulmonary surgery

Fuentes VE, Pérez GK, Fuentes BRN

Language: Spanish
References: 37
Page: 1-17
PDF size: 475.85 Kb.


ABSTRACT

Introduction: Standardized perioperative care helps ensure that all patients receive optimal treatment.
Objective: To apply a method of systematic multimodal perioperative care in patients undergoing major pulmonary surgery.
Methods: A narrative review was performed of the relevant literature published on the subject in MEDLINE, Cochrane, and Medigraph databases in English, Spanish, and French. Emphasis was made on articles from the last 5 years, especially randomized studies, institutional and national databases, systematic reviews, meta-analyses, and ERAS/ERATS programs and protocols, as well as review articles.
Discussion: The studies retrieved were evaluated by the authors separately and, later, together to define which ones met the objectives. The protocol was divided into 5 phases: preoperative, hospital admission, immediate preoperative, intraoperative, and postoperative. For each of them, the actions to be carried out were defined, according to the available evidence.
Conclusions: The implementation of the protocol will allow to go from an empirical phase to an investigative one, so that better results can be obtained in the surgical treatment of patients enrolled in the investigations.


REFERENCES

  1. Gonfiotti A, Viggiano D, Voltolini L, Bertani A, Bertolaccini L, Crisci R, et al. Enhanced recovery after surgery and video-assisted thoracic surgery lobectomy: The Italian VATS Group* surgical protocol. J Thorac. 2018;10(Suppl 4):S564-S570.

  2. Semenkovich TR, Hudson JL, Subramanian M, Kozower BD. Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery. Semin Thorac Cardiovasc Surg. 2018;30(3):342-9.

  3. Miller TE, Thacker J, White WD, Mantyh Ch, Migaly J, Jin J, et al. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg. 2014;118(5):1052-61.

  4. Carrillo-Esper R. Protocolo ERAS (Enhance Recovery After Surgery) Medicina Crítica. 2016;39(Supl 1):S153-S155.

  5. Teeter EG, Kolarczyk LM, Popescu WM. Examination of the enhanced recovery guidelines in thoracic surgery. Curr Opin Anaesthesiol. 2019;32(1):10-6.

  6. Basse L, Thorbol JE, Lossl K, Kehlet H. Colonic surgery with accelerated rehabilitation or conventional care. Dis Colon Rectum. 2004(3);47:271-8.

  7. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248(2):189-98.

  8. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, Brunelli A, Cerfolio RH, Gonzalez M, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS). Eur J of Cardio-Thoracic Surg. 2019;55(1):91-115.

  9. Powell R, Scott NW, Manyande A, Bruce J, Vögele C, Byrne-Davis LM, et al. Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. Cochrane Database Syst. Rev. 2016;5:CD008646.

  10. Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017(3);36:623-50.

  11. Sørensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy: a systematic review. Ann Surg. 2012(6);255:1069-79.

  12. Bernard A, Rivera C, Pages PB, Falcoz PE, Vicaut E, Dahan M, et al. Risk model of in-hospital mortality after pulmonary resection for cancer: a national database of the French Society of Thoracic and Cardiovascular Surgery (Epithor). J Thorac Cardiovasc Surg. 2011(2);141:449-58.

  13. Green A, Hauge J, Iachina M, Jakobsen E. The mortality after surgery in primary lung cancer: results from the Danish Lung Cancer Registry. Eur J Cardiothorac Surg. 2016(2);49:589-94.

  14. Jean RA, DeLuzio MR, Kraev AI, Wang G, Boffa DJ, Detterbeck FC, et al. Analyzing risk factors for morbidity and mortality after lung resection for lung cancer using the NSQIP database. J Am Coll Surg. 2016;222(6):992-1000.

  15. Berardi R, Brunelli A, Tamburrano T, Verdecchia L, Onofri A, Zuccatosta L, et al. Perioperative anemia and blood transfusions as prognostic factors in patients undergoing resection for non-small cell lung cancers. Lung Cancer. 2005;49(3):371-6.

  16. Horn EP, Bein B, Böhm R, Steinfath M, Sahili N, Höcker J, et al. The effect of short time periods of pre-operative warming in the prevention of perioperative hypothermia. Anaesthesia. 2012(6);67:612-7.

  17. Karalapillai D, Story D, Hart GK, Bailey M, Pilcher D, Schneider A, et al. Postoperative hypothermia and patient outcomes after major elective non-cardiac surgery. Anaesthesia. 2013(6);68:605-11.

  18. Nieh HC, Su SF. Meta-analysis: effectiveness of forced-air warming for prevention of perioperative hypothermia in surgical patients. J Adv Nurs. 2016(10);72:2294-314.

  19. Ibrahim M, Menna C, Andreetti C, Puyo C, Maurizi G, D'Andrilli A, et al. Does a multimodal no-compression suture technique of the intercostal space reduce chronic postthoracotomy pain? A prospective randomized study. J Thorac Oncol. 2016(9);11:1460-8.

  20. Bjerregaard LS, Jensen K, Petersen RH. Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid production up to 500 ml/day. Eur J Cardiothorac Surg. 2014(2);45:241-6.

  21. Marshall MB, Deeb ME, Bleier JI, Kucharczuk JC, Friedberg JS, Kaiser LR, et al. Suction vs. water seal after pulmonary resection: a randomized prospective study. Chest. 2002(3);121:831-5.

  22. Gocyk W, Kuzdzal J, Wlodarczyk J, Grochowski Z, Gil T, Warmus J, et al. Comparison of suction versus nonsuction drainage after lung resections: a prospective randomized trial. Ann Thorac Surg. 2016(4);102:1119-24.

  23. Okur E, Kir A, Halezeroglu S, Alpay AL, Atasalihi A. Pleural tenting following upper lobectomies or bilobectomies of the lung to prevent residual air space and prolonged air leak. Eur J Cardiothorac Surg. 2001(5);20:1012-5.

  24. Allama AM. Pleural tent for decreasing air leak following upper lobectomy: a prospective randomised trial. Eur J Cardiothorac Surg. 2010(6);38:674-8.

  25. Brunelli A, Xiume F, Al Refai M, Salati M, Marasco R, Sabbatini A, et al. Air leaks after lobectomy increase the risk of empyema but not of cardiopulmonary complications: a case-matched analysis. Chest. 2006(4);130:1150-6.

  26. Kheterpal S, Tremper KK, Englesbe MJ, O'Reilly M, Shanks AM, Fetterman DM, et al. Predictors of postoperative acute renal failure after noncardiac surgery in patients with previously normal renal function. Anesthesiology. 2007;107(6):892-902.

  27. Puckett JR, Pickering JW, Palmer SC, McCall JL, Kluger MT, De Zoysa J, et al. Low versus standard urine output targets in patients undergoing major abdominal surgery: a randomized noninferiority trial. Ann Surg. 2017(5);265:874-81.

  28. Egal M, de Geus HR, van Bommel J, Groeneveld AB. Targeting oliguria reversal in perioperative restrictive fluid management does not influence the occurrence of renal dysfunction: a systematic review and meta-analysis. Eur J Anaesthesiol. 2016(6);33:425-35.

  29. Convertino VA. Cardiovascular consequences of bed rest: effect on maximal oxygen uptake. Med Sci Sports Exerc. 1997(2);29:191-6.

  30. Mainini C, Rebelo PF, Bardelli R, Kopliku B, Tenconi S, Costi S, et al. Perioperative physical exercise interventions for patients undergoing lung cancer surgery: what is the evidence. SAGE Open Med. 2016;4:205031211667385.

  31. Bonde P, Papachristos I, McCraith A, Kelly B, Wilson C, McGuigan JA, et al. Sputum retention after lung operation: prospective, randomized trial shows superiority of prophylactic minitracheostomy in high-risk patients. Ann Thorac Surg. 2002(1);74:196-202.

  32. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surg. 2017;152(3):292-8.

  33. Bertani A, Ferrari P, Terzo D, Russo E, Burgio G, De Monte L, et al. A comprehensive protocol por physiokinesis therapy and enhanced recovery after surgery in patientes undergoing video-assisted thoracoscopic surgery lobectomy. J Thorac Dis. 2018;10(Suppl 4):S499-S511.

  34. González M, Abdelnour-Berchtold E, Perentes JY, Douect V, Zellweger M, Marcucci C, et al. An enhanced recovery after surgery program for video-assisted thorcoscopic surgery anatomical lung resections is cost-effective. J Thorac Dis. 2018;10(10):5879-88.

  35. Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J, et al. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011;146(5):571-7.

  36. Ivers N, Jamtvedt G, Flottorp S, Young JM, Odgaard-Jensen J, French SD, et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;6:CD000259.

  37. Steenhagen E. Enhanced Recovery After Surgery; It´s Time to Change Practica! Nutr Clin Pract. 2016(1);31:18-29.




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