A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. [Review]
A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. [Review]
- 2019
Copyright (c) 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved. There is an increasing body of evidence to support the success of Enhanced Recovery After Surgery (ERAS) for a wide range of surgical procedures. There has been little formalized application, however, of ERAS principles in obstetrical surgery. The aim of this review was to examine the evidence base of perioperative care for patients undergoing CD and to determine the feasibility of developing an ERAS Society guideline for this obstetrical care plan. The literature on enhanced recovery programs was reviewed, including fast track surgery and perioperative care components in the preoperative, intraoperative, and postoperative phases of CD. These studies included RCTs, prospective cohort studies, non-RCT studies, meta-analyses, systematic reviews, reviews, and case studies. This is not a systematic review because each ERAS topic area would require a new question. Certain ERAS elements have the potential to benefit patients undergoing CD. These elements include patient education, preoperative optimization, prophylaxis against thromboembolism, antimicrobial prophylaxis, postoperative nausea and vomiting prevention, hypothermia prevention, perioperative fluid management, postoperative analgesia, ileus prevention, breastfeeding promotion, and early mobilization. ERAS has the potential to be successfully implemented in CD on the basis of the evidence obtained from this review. The knowledge transfer and implementation will require multidisciplinary coordination in the preoperative, intraoperative, and postoperative phases and the development of a formalized ERAS guideline.
English
1701-2163
10.1016/j.jogc.2018.05.043 [doi] S1701-2163(18)30516-4 [pii]
*Cesarean Section
*Enhanced Recovery After Surgery
*Evidence-Based Medicine
Analgesics/tu [Therapeutic Use]
Anesthesia, Obstetrical
Breast Feeding
Cesarean Section/ae [Adverse Effects]
Cesarean Section/mt [Methods]
Diet, Carbohydrate Loading
Early Ambulation
Fasting
Female
Gestational Age
Humans
Patient Education as Topic
Postoperative Care
Postoperative Complications/pc [Prevention & Control]
Practice Guidelines as Topic
Pregnancy
Prenatal Care
Time-to-Treatment
MedStar Washington Hospital Center
Anesthesiology
Journal Article
Review
Copyright (c) 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved. There is an increasing body of evidence to support the success of Enhanced Recovery After Surgery (ERAS) for a wide range of surgical procedures. There has been little formalized application, however, of ERAS principles in obstetrical surgery. The aim of this review was to examine the evidence base of perioperative care for patients undergoing CD and to determine the feasibility of developing an ERAS Society guideline for this obstetrical care plan. The literature on enhanced recovery programs was reviewed, including fast track surgery and perioperative care components in the preoperative, intraoperative, and postoperative phases of CD. These studies included RCTs, prospective cohort studies, non-RCT studies, meta-analyses, systematic reviews, reviews, and case studies. This is not a systematic review because each ERAS topic area would require a new question. Certain ERAS elements have the potential to benefit patients undergoing CD. These elements include patient education, preoperative optimization, prophylaxis against thromboembolism, antimicrobial prophylaxis, postoperative nausea and vomiting prevention, hypothermia prevention, perioperative fluid management, postoperative analgesia, ileus prevention, breastfeeding promotion, and early mobilization. ERAS has the potential to be successfully implemented in CD on the basis of the evidence obtained from this review. The knowledge transfer and implementation will require multidisciplinary coordination in the preoperative, intraoperative, and postoperative phases and the development of a formalized ERAS guideline.
English
1701-2163
10.1016/j.jogc.2018.05.043 [doi] S1701-2163(18)30516-4 [pii]
*Cesarean Section
*Enhanced Recovery After Surgery
*Evidence-Based Medicine
Analgesics/tu [Therapeutic Use]
Anesthesia, Obstetrical
Breast Feeding
Cesarean Section/ae [Adverse Effects]
Cesarean Section/mt [Methods]
Diet, Carbohydrate Loading
Early Ambulation
Fasting
Female
Gestational Age
Humans
Patient Education as Topic
Postoperative Care
Postoperative Complications/pc [Prevention & Control]
Practice Guidelines as Topic
Pregnancy
Prenatal Care
Time-to-Treatment
MedStar Washington Hospital Center
Anesthesiology
Journal Article
Review