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2019, Number 1

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Revista Cubana de Cirugía 2019; 58 (1)

Enhanced recovery after surgery programs

Zamora SO

Language: Spanish
References: 50
Page: 64-75
PDF size: 450.76 Kb.


ABSTRACT

Enhanced Recovery After Surgery, ERAS, programs are a set of actions applied to the surgical patient in the perioperative period. These seek to reduce the impact of surgery on the metabolic and endocrine response and to achieve an earlier recovery of higher quality. The objective of the work was to spread the principles and potential advantages of these programs, for their implementation in centers of our country. A review was carried out of publications related to ERAS programs and their interventions, from January 1995 to March 2018, in the database MEDLINE, CUMED, and the libraries SciELO and Cochrane-Cochrane Library Plus, as well as the open access journal PLoS Medicine. The ERAS programs have been gradually extended to other surgical procedures and specialties. Research focused on them is demonstrating their potential and expansion. To implement them, institutional will and a multidisciplinary approach are needed, while, in order to sustain their results, it is essential to audit them periodically. The application of the ERAS programs has been related to reduction of hospital stay, complications and costs, without increase in readmissions or mortality. Its proper implementation is considered safe and convenient for patients and institutions.


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