Enhanced Recovery After Surgery (ERAS) for Spine Surgery, a Review Article

Omidvar Rezaei Mirghaed 1, Mohammadreza Hajiesmaeili2, Kaveh Ebrahimzadeh3, Rassoul Noorossana4, Omid Shafagh Sorkh5, Saeedeh Nateghinia

1. Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2. Assistant Professor of Anesthesia, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. Assistant Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4. Professor of Industrial Engineering, Iran University of Science and Technology, Tehran, Iran
5. Researcher, Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Despite surgical, medical, technological, and anesthetic improvements, Patients are faced with various consequences and complications after  spine surgery. Enhanced Recovery After Surgery (ERAS) programs is a multimodal, multidisciplinary perioperative care approach that seeks to  improve the quality of surgery, reduce complications, reduce the length of stay, and ultimately reduce costs. This program Includes evidence- based guidelines from pre-admission to discharge and recovery time. Due to the complex nature of spine surgery, we demand to design and  implementation ERAS in Iran . The success and quality of the implementation of this program depends on strong management, organizational  culture, data infrastructure, information systems, and the use of a quality improvement approach with an acceptable design.
Keywords: ERAS, Surgery, Spine

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