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Enhanced Recovery After Surgery (ERAS) for Thoracic Surgery

  • Emily G. TeeterEmail author
  • Gabriel E. Mena
  • Javier D. Lasala
  • Lavinia M. Kolarczyk
Chapter

Abstract

Enhanced recovery after surgery (ERAS) is a multidisciplinary, comprehensive approach to perioperative care that aims to mitigate the stress response to surgery, thus enabling a smoother recovery and faster return to baseline functional status. While still an emerging concept in thoracic surgery, ERAS is comprised of core components that span the pre-operative, intraoperative, and post-operative arenas. The involvement of the anesthesiologist is vital to the success of a thoracic ERAS program. Here we will review the background and core tenets of ERAS, the available literature related to specific components, the barriers to implementation, and the direction for future efforts in this field.

Keywords

ERAS Enhanced recovery after surgery Fast-track thoracic surgery Prehabilitation Multimodal analgesia Opioid-sparing analgesia Protective lung ventilation Fluid management Goal-directed fluid therapy Tobacco cessation Incentive spirometry 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Emily G. Teeter
    • 1
    Email author
  • Gabriel E. Mena
    • 2
  • Javier D. Lasala
    • 2
  • Lavinia M. Kolarczyk
    • 1
  1. 1.Department of AnesthesiologyUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.Department of Anesthesiology and Perioperative MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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