Implementation of the Enhanced Recovery After Surgery (ERAS®) program in neurosurgery.

Details

Ressource 1Download: Final article_Acta Neurochir_PMID_37688648.pdf (652.56 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_7EA7B5904082
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Implementation of the Enhanced Recovery After Surgery (ERAS®) program in neurosurgery.
Journal
Acta neurochirurgica
Author(s)
Belouaer A., Cossu G., Papadakis G.E., Gaudet J.G., Perez M.H., Chanez V., Boegli Y., Mury C., Peters D., Addor V., Levivier M., Daniel R.T., Demartines N., Messerer M.
ISSN
0942-0940 (Electronic)
ISSN-L
0001-6268
Publication state
Published
Issued date
11/2023
Peer-reviewed
Oui
Volume
165
Number
11
Pages
3137-3145
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Over the past decade, Enhanced Recovery After Surgery (ERAS®) guidelines have been proven to simplify postoperative care and improve recovery in several surgical disciplines. The authors set out to create and launch an ERAS® program for cranial neurosurgery that meets official ERAS® Society standards. The authors summarize the successive steps taken to achieve this goal in two specific neurosurgical conditions and describe the challenges they faced.
Pituitary neuroendocrine tumors (Pit-NET) resected by a transsphenoidal approach and craniosynostosis (Cs) repair were selected as appropriate targets for the implementation of ERAS® program in the Department of Neurosurgery. A multidisciplinary team with experience in managing these pathologies was created. A specialized ERAS® nurse coordinator was hired. An ERAS® certification process was performed involving 4 seminars separated by 3 active phases under the supervision of an ERAS® coach.
The ERAS® Pit-NET team included 8 active members. The ERAS® Cs team included 12 active members. Through the ERAS® certification process, areas for improvement were identified, local protocols were written, and the ERAS® program was implemented. Patient-centered strategies were developed to increase compliance with the ERAS® protocols. A prospective database was designed for ongoing program evaluation. Certification was achieved in 18 months. Direct costs and time requirements are reported.
Successful ERAS® certification requires a committed multidisciplinary team, an ERAS® coach, and a dedicated nurse coordinator.
Keywords
Craniosynostosis, Enhanced Recovery after Surgery (ERAS®), Neurosurgery, Pediatric, Pituitary adenoma, Pituitary neuroendocrine tumors, Transsphenoidal
Pubmed
Web of science
Open Access
Yes
Create date
12/09/2023 21:16
Last modification date
07/11/2023 7:09
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