Role of anaesthesia in neurosurgical enhanced recovery programmes

Andrey Khozenko; Massimo Lamperti; Lionel Velly; Pierre Simeone; Boris Tufegdzic

doi:10.1016/j.bpa.2020.11.001

Role of anaesthesia in neurosurgical enhanced recovery programmes

Best Pract Res Clin Anaesthesiol. 2021 Jul;35(2):241-253. doi: 10.1016/j.bpa.2020.11.001. Epub 2020 Nov 4.

Authors

Andrey Khozenko¹, Massimo Lamperti², Lionel Velly³, Pierre Simeone⁴, Boris Tufegdzic⁵

Affiliations

¹ Anaesthesiology Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, PO box 112412, Abu Dhabi, United Arab Emirates.
² Anaesthesiology Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, PO box 112412, Abu Dhabi, United Arab Emirates. Electronic address: docmassimomd@gmail.com.
³ Aix Marseille Univ, AP-HM, Department of Anesthesiology and Critical Care Medicine, University Hospital Timone, 264 rue saint Pierre, 13005, CEDEX 5, Marseille, France. Electronic address: lionel.velly@ap-hm.fr.
⁴ Aix Marseille Univ, AP-HM, Department of Anesthesiology and Critical Care Medicine, University Hospital Timone, 264 rue saint Pierre, 13005, CEDEX 5, Marseille, France. Electronic address: pierre.simeone@ap-hm.fr.
⁵ Anaesthesiology Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, PO box 112412, Abu Dhabi, United Arab Emirates. Electronic address: drbtufegdzic@gmail.com.

PMID: 34030808
DOI: 10.1016/j.bpa.2020.11.001

Abstract

The application of Enhanced Recovery After Surgery (ERAS) in neurosurgical practice is a relatively new concept. A limited number of studies involving ERAS protocols within neurosurgery, specifically for elective craniotomy, have been published, contrary to the ERAS spine surgery pathways that are now promoted by numerous national and international dedicated surgical societies and hospitals. In this review, we want to present the patient surgical journey from an anaesthesia perspective through the key components that can be included in the ERAS pathways for neurosurgical procedures, both craniotomies and major spine surgery.

Keywords: craniotomy; enhanced recovery after surgery; neuroanaesthesia; neurosurgery; spine surgery.

Publication types

Review

MeSH terms

Anesthesia / adverse effects
Anesthesia / methods*
Enhanced Recovery After Surgery*
Humans
Neurosurgical Procedures / adverse effects
Neurosurgical Procedures / methods*
Postoperative Complications / etiology
Postoperative Complications / physiopathology
Postoperative Complications / prevention & control*
Preoperative Care / methods*