Journal of neurosurgical anesthesiology · 2024
Enhanced Recovery After Craniotomy: Global Practices, Challenges, and Perspectives.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Di Donato Anne, Velásquez Carlos, Larkin Caroline, Baron Shahaf Dana, Bernal Eduardo Hernandez, Shafiq Faraz, Kalipinde Francis, Mwiga Fredson F, Jose Geraldine Raphaela B, Naidu Gangineni Kishore K, Nijs Kristof, Moipolai Lapale, Venkatraghavan Lashmi, Lukoko Lilian, Pandia Mihir Prakash, Jian Minyu, Masohood Naeema S, Juul Niels, Avitsian Rafi, Manohara Nitin, Srinivasaiah Rajesha, Takala Riikka, Lamsal Ritesh, Al Khunein Saleh A, Sudadi Sudadi, Cerny Vladimir, Chowdhury Tumul
Аннотация
The global demand for hospital care, driven by population growth and medical advances, emphasizes the importance of optimized resource management. Enhanced Recovery After Surgery (ERAS) protocols aim to expedite patient recovery and reduce health care costs without compromising patient safety or satisfaction. Its principles have been adopted in various surgical specialties but have not fully encompassed all areas of neurosurgery, including craniotomy. ERAS for craniotomy has been shown to reduce the length of hospital stay and costs without increasing complications. ERAS protocols may also reduce postoperative nausea and vomiting and perioperative opioid requirements, highlighting their potential to enhance patient outcomes and health care efficiency. Despite these benefits, guidelines, and strategies for ERAS in craniotomy remain limited. This narrative review explores the current global landscape of ERAS for craniotomy, assessing existing literature and highlighting knowledge gaps. Experts from 26 countries with diverse cultural and socioeconomic backgrounds contributed to this review, offering insights about current ERAS protocol applications, implementation challenges, and future perspectives, and providing a comprehensive global overview of ERAS for craniotomy. Representatives from all 6 World Health Organization geographical world areas reported that barriers to the implementation of ERAS for craniotomy include the absence of standardized protocols, provider resistance to change, resource constraints, insufficient education, and research scarcity. This review emphasizes the necessity of tailored ERAS protocols for low and middle-income countries, addressing differences in available resources. Acknowledging limitations in subjectivity and article selection, this review provides a comprehensive overview of ERAS for craniotomy from a global perspective and underscores the need for adaptable ERAS protocols tailored to specific health care systems and countries.