Recomendaciones para un protocolo Enhanced Recovery After Surgery (ERAS) de craneotomía electiva / Recommendations for an Enhanced Recovery After Surgery protocol (ERAS) for elective craniotomy
Bol. Hosp. Viña del Mar
; 77(1-2): 22-28, 2021.
Article
em Es
|
LILACS-Express
| LILACS
| ID: biblio-1398357
Biblioteca responsável:
CL72
RESUMEN
La implementación de un protocolo Enhanced Recovery After Surgery (ERAS), que consiste en un conjunto de medidas perioperatorias orientadas a mejorar el desenlace postoperatorio y a disminuir la estadía hospitalaria, las tasas de complicaciones y los costos económicos, ha sido costo-beneï¬ciosa en muchas especialidades quirúrgicas. En neurocirugía, sin embargo, no existe actualmente un protocolo ERAS de amplio uso para craneotomía electiva. Experiencias iniciales, obtenidas tras la implementación de unos pocos protocolos ERAS para dicha intervención, son alentadoras, demostrando disminuir la estadía hospitalaria y el dolor postoperatorio y aumentando la satisfacción del paciente, sin aumentar las complicaciones. En el presente artículo formulamos recomendaciones que podrían utilizarse para diseñar un protocolo ERAS para una realidad particular, en base a un análisis de la evidencia actual sobre intervenciones que han demostrado disminuir las complicaciones y la estadía hospitalaria.
ABSTRACT
The implementation of an Enhanced Recovery After Surgery protocol (ERAS) consisting of a set of perioperative measures aimed at improving the post-operatory outcome, shortening hospital stay, and reducing the rate of complications and economic costs has been cost-beneï¬cial in many surgical specialties. However, there is currently no widely used ERAS protocol for elective craniotomy in neurosurgery. Initial experience with implementation of some ERAS protocols for said intervention are encouraging, showing shortened hospital stays, less postoperative pain, and higher patient satisfaction with no increase in complications. In this article we draw up recommendations which could be used in the designing of an ERAS protocol for a speciï¬c situation, based on an analysis of current evidence on interventions which have been shown to reduce complications and hospital stay.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Idioma:
Es
Revista:
Bol. Hosp. Viña del Mar
Assunto da revista:
MEDICINA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile