A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. [Review]

MedStar author(s):
Citation: Journal of Obstetrics & Gynaecology Canada: JOGC. 41(12):1775-1788, 2019 Dec.PMID: 30442516Institution: MedStar Washington Hospital CenterDepartment: AnesthesiologyForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *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-TreatmentYear: 2019ISSN:
  • 1701-2163
Name of journal: Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGCAbstract: 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.All authors: Cao C, Huang J, Nelson G, Wilson RDOriginally published: Journal of Obstetrics & Gynaecology Canada: JOGC. 2018 Nov 12Fiscal year: FY2020Fiscal year of original publication: FY2019Digital Object Identifier: Date added to catalog: 2018-12-14
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30442516 Available 30442516

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.

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