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Curr Pain Headache Rep. 2018 Aug 31;22(11):74. doi: 10.1007/s11916-018-0727-z.

The Evolution of Surgical Enhanced Recovery Pathways: a Review.

Author information

1
Department of Anesthesiology, Ohio State University School of Medicine, Columbus, OH, USA.
2
Departments of Anesthesiology and Pharmacology, LSU Health Science Center, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA.
3
Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA.
4
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.
5
Departments of Anesthesiology and Pharmacology, LSU Health Science Center, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA. alankaye44@hotmail.com.

Abstract

PURPOSE OF REVIEW:

Enhanced recovery pathways are a well-defined perioperative health care program utilizing evidence-based interventions in a protocol-like manner designed to standardize techniques including drug selection and dosing to improve results and to reduce overall costs including facilitating earlier discharge from hospitals after surgery.

RECENT FINDINGS:

A PubMed and World Wide Web search was performed with the following key words: enhanced recovery, surgical enhanced recovery, recovery pathways, and enhanced recovery pathways surgery. This introduction to enhanced recovery pathways reflects its 20-year history, worldwide appeal, and ever growing presence in our practices. Many clinical teams have not, as of yet, incorporated enhanced recovery pathway principles to their practices and therefore, continued evolution should include increasing outreach and formalized guidelines in the future.

KEYWORDS:

Enhanced recovery pathways; Fast track recovery; Nutrition; Postoperative care; Preoperative care; Surgery

PMID:
30171357
DOI:
10.1007/s11916-018-0727-z

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