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ERAS in a Czech hospital – Utopia or Reality?


Authors: T. Vymazal 1;  P. Kocian 2;  P. Přikryl 1;  D. Hodyc 3;  J. Hoch 2
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta, Univerzita Kalova a Fakultní nemocnice v Motole 1;  Chirurgická klinika, 2. lékařská fakulta, Univerzita Kalova a Fakultní nemocnice v Motole 2;  Advance Healthcare Management Institute 3
Published in: Anest. intenziv. Med., 29, 2018, č. 6, s. 317-321
Category:

Overview

Enhanced recovery after surgery (ERAS) protocols were introduced in the early 1990‘s. ERAS protocols reduce the length of stay in hospital and complication rates in surgical patients. In the Czech Republic, ERAS is still not a standard part of perioperative care. Adherence to ERAS protocols would lead to more effective treatment in the Czech healthcare system like elsewhere.

KEYWORDS

ERAS – ERAS protocol – protocol adherence – medical care costs


Sources

1. Vymazal T. ERAS (184-8) In: Vymazal T, a kol. Doporučené postupy pro podávání anestezie dětem a dospělým, 2., doplněné a rozšířené vydání. Praha: Mladá fronta, 2017.

2. Kehlet H. ERAS implementation-time to move forward. Ann Surg. 2018;16. doi: 10.1097/ANE.0000000000002720. [Epub ahead of print.]

3. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: a review. JAMA Surg. 2017;152:292–298. doi: 10.1001/jamasurg.2016.4952.

4. Ljungqvist O. ERAS – Enhanced Recovery After Surgery: moving evidence-based perioperative care to prac­tice. JPEN J Parenter Enteral Nutr. 2014;38:559–566. doi: 10.1177/0148607114523451. Epub 2014 Feb 24.

5. Kehlet H, Joshi GP. Enhanced Recovery After Surgery: cur­rent controversies and concerns. Int Anest Res Soc. 2017. Doi: 10.1213/ANE.00000002231.

6. Gramlich LM, Sheppard CE, Wasylak T, et al. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci. 2017;12:67. doi: 10.1186/s13012-017-0597-5.

7. MacFie J. Enhanced recovery after surgery is obsolete. Dis Colon Rectum. 2016;59:1002–1003.

Práce je původní, nebyla publikována ani není zaslána k recenznímu řízení do jiného média.

Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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