Approach Of Surgeons To Eras (Enhanced Recovery After Surgery) Protocol - Multicenter Questionnaire

Abstract

OBJECTIVE: We aimed to learn the knowledge, thoughts and opinions of the surgeons about ERAS (Enhanced Recovery After Surgery)and to evaluate the tendency in their clinics in the four different centers in Istanbul. METHOD: The questionnaire prepared to determine the attitudes and approaches and alsoto increase the awarenessof surgeons who are working in four different centers in Istanbul. The questionnare answered by surgeons, gynecologists,and urologists and the results are evaluated. CONCLUSİON: According to the results of the survey, we determined that the majority of surgical teams are still preferthe classic approaches. Surgical clinics seem to have mastered the approaches in their field and have little experience with the other components of the protocol. It is concluded that ERAS is not applicable due to its multidisciplinary and institutional structure.

Keywords

• ERAS
• postoperative accelerated recovery protocol

Approach Of Surgeons To Eras (Enhanced Recovery After Surgery) Protocol - Multicenter Questionnaire

Abstract

OBJECTIVE: We aimed to learn the knowledge, thoughts and opinions of the surgeons about ERAS (Enhanced Recovery After Surgery)and to evaluate the tendency in their clinics in the four different centers in Istanbul. METHOD: The questionnaire prepared to determine the attitudes and approaches and alsoto increase the awarenessof surgeons who are working in four different centers in Istanbul. The questionnare answered by surgeons, gynecologists,and urologists and the results are evaluated. CONCLUSİON: According to the results of the survey, we determined that the majority of surgical teams are still preferthe classic approaches. Surgical clinics seem to have mastered the approaches in their field and have little experience with the other components of the protocol. It is concluded that ERAS is not applicable due to its multidisciplinary and institutional structure.

Keywords

• multicenter questionnaire
• surgical awareness,
• postoperative accelerated recovery protocol,
• ERAS

References

1. 1-Bardram L., Funch- Jensen P., Jensen P, Kehlet H., Crawford M.E, Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet, 1995;345:763–764
2. 2-Ljungqvist O, Hubner M. Enhanced recovery after surgery-ERAS-principles, practice and feasibi- lity in the elderly. Aging Clin Exp Res 2018; 30: 249–52
3. 3-Turkmen U.A.,Onuk E. Geriatric Anesthesia, Gunes Bookstore, 2019; Chapter 43:425-437
4. 4-Reves JG, Barnett SR, McSwain JR, Rooke GA, Eds. Geriatric Anesthesiology 3rd ed. Springer2018 Edition
5. 5-Harlak A.,Gündoğdu H., Ersoy E,Approach of Surgeons in AnkaraonAccelerated Recovery After Surgery(ERAS protocol),National Surgery Journal, 2008;Volume 24, Issue 4 Oct-Nov-Dec ISSN 1300-0705:182-188
6. 6-Timothy L. Fitzgerald,1,2 Catalina Mosquera,1,2 Nicholas J. Koutlas,1 Nasreen A. Vohra,1,2 Kimberly V. Edwards,3 and Emmanuel E. Zervos1,2, Enhanced Recovery after Surgery in a Single High-Volume, Surgery Research and Practice Volume 2016; Article ID 6830260, 9 pages
7. 7-Kesici S.,Turkmen U.A., Anesthetists and surgeons inensuring preoperative optimization, Cumhuriyet Medical Journal, September 2019;Volume41:3:626-636. doi: 10.7197/cmj.vi.585082
8. 8-Martin D.,Roulin D.,Grass F, Addor V, Ljungqvist O, Demartines N., Hübner M., A multicentre qualitative study assessing implementation of an Enhanced Recovery After Surgery program,Clinical Nutrition xxx (2017); 1-6

9. 9-Walter CJ, Smith A, Guillou P. Perceptions of the application of fast-track surgical principles by general surgeons. Ann R Coll Surg Engl. 2006;88:191–5.
10. 10- K. Slima,∗, L. Delaunayb, J. Joris c, D. Léonardd, O. Raspadoe, C. Chambrierf, S. Ostermanng, Le Groupe francophone de réhabilitation améliorée après chirurgie (GRACE),How to implement an enhanced recovery program? Proposals from the Francophone Group for enhanced recovery after surgery (GRACE), Journal of Visceral Surgery (2016); 153, S45—S49
11. 11- Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice?. Can Urol Assoc J. 2011;5(5):342–348. doi:10.5489/cuaj.11002
12. 12- King PM, Blazeby JM, Ewings P, et al. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme. Br J Surg. 2006;93:300–8.
13. 13- Gouvas N, Tan E, Windsor A, et al. Fast-track vs standard care in colorectal surgery: a meta-analysis update. Int J Colorectal Dis. 2009;24:1119–31.