Tinjauan atas Enhanced Recovery After Surgery (ERAS)
DOI:
https://doi.org/10.55175/cdk.v47i5.375Kata Kunci:
Anestes, ERAS, pembedahanAbstrak
Pembedahan mayor dan beberapa protokol perawatan perioperatif konvensional dapat menyebabkan respons stres fisiologis dan deteriorasi fungsi fisiologis pascabedah. Enhanced recovery after surgery (ERAS) merupakan perubahan paradigma perawatan perioperatif berupa pendekatan multimodal, multidisiplin, berbasis bukti, dengan tujuan memperbaiki luaran klinis dan efisiensi perawatan perioperatif dengan mengurangi stres pembedahan, mempertahankan fungsi fisiologis dan mempercepat proses pemulihan. Implementasi protokol ERAS bermanfaat mengurangi morbiditas, komplikasi, durasi rawat, biaya rawat, dan mortalitas jangka panjang.
Major surgery and conventional perioperative care induce physiological stress response and postoperative functional deterioration. Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care involving a multimodal, multidisciplinary, evidence-based approach to improve clinical outcomes and perioperative care efficiency by attenuating surgical stress, maintaining physiological function, and expedite return to baseline. Implementation of ERAS protocols is beneficial in reducing morbidity, complications, length of stay, costs, and long-term mortality.
Unduhan
Referensi
Feldheiser A, Aziz O, Baldini G, Cox BPBW, Fearon KCH, Feldman LS, et al. Enhanced recovery after surgery (ERAS) for gastrointestinal surgery. Part 2: Consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016;60:289–334.
Ripollés-Melchor J, Fuenmayor-Varela ML, Camargo SC, Fernández PJ, Barrio ÁCD, Martínez-Hurtado E, et al. Enhanced recovery after surgery protocol versus conventional perioperative care in colorectal surgery. A single center cohort study. Rev Bras Anestesiol. 2018;68:358–68.
Scott MJ, Baldini G, Fearon KCH, Feldheiser A, Feldman LS, Gan TJ, et al. Enhanced recovery after surgery (ERAS) for gastrointestinal surgery. Part 1: Pathophysiological considerations. Acta Anaesthesiol Scand. 2015;59:1212–31.
Nanavati AJ, Prabhakar S. Enhanced recovery after surgery: If you are not implementing it, why not? Nutrition issues in Gastroenterology, Series #151. Pract Gastroenterol. 2016;151:46-56
Matthews C. Enhanced recovery after surgery (ERAS) anaesthesia tutorial of the week 204. World Federation of Societies of Anaesthesiologists [Internet]. 2010 [cited 2019 Jun 2]. Available from: https://www.frca.co.uk/.
Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: A review. JAMA Surg. 2017;152: 292-8.
Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol. Anaesthesiol Intensive Ther. 2016;48:49-54.
Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg. 2002;183:630–41.
Moningi S, Patki A, Padhy N, Ramachandran G. Enhanced recovery after surgery : An anesthesiologist’s perspective. J Anaesthesiol Clin Pharmacol. 2019;35:5-13.
Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. World J Surg. 2019;43:659–95.
Pressoir M, Desné S, Berchery D, Rossignol G, Poiree B, Meslier M, et al. Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centres. Br J Cancer 2010;102: 966–71.
American Society of Anesthesiologists. Practice guidelines for perioperative blood management: An updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management. Anesthesiology 2015;122:241–75.
Ip HYV, Abrishami A, Peng PWH, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: A qualitative systematic review. Anesthesiology 2009;111:657–77.
Mavros MN, Athanasiou S, Gkegkes ID, Polyzos KA, Peppas G, Falagas ME. Do psychological variables affect early surgical recovery? PLoS ONE 2011;6:e20306.
Rollins KE, Javanmard-Emamghissi H, Lobo DN. Impact of mechanical bowel preparation in elective colorectal surgery: A meta-analysis. World J Gastroenterol 2018;24:519–36.
Sanders G, Mercer SJ, Saeb-Parsey K, Akhavani MA, Hosie KB, Lambert AW. Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery. Br J Surg. 2001;88:1363–5.
Rao W, Zhang X, Zhang J, Yan R, Hu Z, Wang Q. The role of nasogastric tube in decompression after elective colon and rectum surgery : A meta-analysis. Int J Colorectal Dis. 2011;26:423–9.
Verma R, Nelson RL. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev. 2007;3:CD004929.
McLeod RS, Geerts WH, Sniderman KW, Greenwood C, Gregoire RC, Taylor BM, et al. Subcutaneous heparin versus low-molecular-weight heparin as thromboprophylaxis in patients undergoing colorectal surgery : Results of the Canadian colorectal DVT prophylaxis trial : A randomized, double-blind trial. Ann Surg. 2001;233:438–44.
Brower RG. Consequences of bed rest. Crit Care Med. 2009;37:422–8.
Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery : A meta-analysis of randomized controlled trials. World J Surg. 2014;38:1531–41.
Thiele RH, Rea KM, Turrentine FE, Friel CM, Hassinger TE, Goudreau BJ, et al. Standardization of care: Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. J Am Coll Surg. 2015;220:430–43.
Nelson G, Kiyang LN, Crumley ET, Chuck A, Nguyen T, Faris P, et al. Implementation of enhanced recovery after surgery (ERAS) across a provincial healthcare system: The ERAS Alberta colorectal surgery experience. World J Surg. 2016;40:1092–103.
Savaridas T, Serrano-Pedraza I, Khan SK, Martin K, Malviya A, Reed MR. Reduced medium-term mortality following primary total hip and knee arthroplasty with an enhanced recovery program: A study of 4,500 consecutive procedures. Acta Orthop. 2013;84:40–3.
Gustafsson UO, Oppelstrup H, Thorell A, Nygren J, Ljungqvist O. Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery: A retrospective cohort study. World J Surg. 2016;40:1741–7.
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2020 Cermin Dunia Kedokteran
Artikel ini berlisensi Creative Commons Attribution-NonCommercial 4.0 International License.
