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J Clin Neurosci. 2016 Feb;24:10-6. doi: 10.1016/j.jocn.2015.08.013. Epub 2015 Oct 21.

Enhanced recovery after surgery for oncological craniotomies.

Author information

1
Department of Anesthesiology & Perioperative Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
2
Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
3
Systems Analyst, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
4
Department of Anesthesiology & Perioperative Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA; Anesthesia and Surgical Oncology Research Group, Houston, TX, USA. Electronic address: jcata@mdanderson.org.

Abstract

Enhanced recovery after surgery (ERAS) initiatives in the fields of gastrointestinal and pelvic surgery have contributed to improved postoperative functional status for patients and decreased length of stay. A similar comprehensive protocol is lacking for patients undergoing craniotomy for tumor resection. A literature search was performed using PubMed. These references were reviewed with a preference for recent high quality studies. Cohort and retrospective studies were also included if higher levels of evidence were lacking. A literature search was conducted for scalp blocks and minimally invasive craniotomies. Papers were scored using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria for evidence level and recommendation grade. Seventeen ERAS items were reviewed and recommendations made. The current body of evidence is insufficient to create a standardized protocol for craniotomy and tumor resection. However, this initial review of the literature supports pursuing future research initiatives that explore modalities to improve functional recovery and decrease length of stay in craniotomy patients.

KEYWORDS:

Brain tumors; Craniotomy; Enhanced recovery

PMID:
26474504
DOI:
10.1016/j.jocn.2015.08.013
[Indexed for MEDLINE]

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