Enhanced Recovery in a Minimally Invasive Thoracic Surgery Program

AORN J. 2015 Nov;102(5):482-92. doi: 10.1016/j.aorn.2015.09.006.

Abstract

Enhanced Recovery After Surgery (ERAS®) is a strategy that seeks to reduce patients' perioperative stress response, thereby reducing potential complications, decreasing hospital length of stay, and enabling patients to return more quickly to their baseline functional status. The concept was introduced in the late 1990s and was first adopted for use with patients undergoing open colorectal surgery. Since that time, the concept of ERAS has spread to multiple surgical specialties. This article explores the changes in patient care using an ERAS framework in a minimally invasive thoracic surgery program, barriers to implementation, and patient outcomes.

Keywords: ERAS; VATS; enhanced recovery after surgery; minimally invasive; thoracic.

MeSH terms

  • Humans
  • Hygiene
  • Minimally Invasive Surgical Procedures / methods*
  • Pain Management
  • Patient Discharge
  • Postanesthesia Nursing
  • Preoperative Period
  • Thoracic Surgery / methods*