Why the study?
Advances in thoracic surgery and minimally invasive techniques have expanded surgical treatment concepts, making early recovery after thoracic surgery routine.
This document provides clinical guidelines and expert consensus on perioperative management strategies for enhanced recovery after lung surgery.
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ERAS protocols should now be standard for lung surgery; reinforces Level 1 consensus on perioperative optimization.
Advances in thoracic surgery, especially the popularization of minimally invasive techniques, have dramatically expanded or changed the concept of surgical treatment. Early recovery from thoracic surgery is now routine. In Jan 2019, the European Society of Thoracic Surgeons published guidelines for enhanced recovery after lung surgery on: preoperative counselling, nutritional screening, smoking cessation, rehabilitation for high-risk patients, avoidance of fasting, carbohydrate loading, avoidance of preoperative sedatives, venous thromboembolism prophylaxis, prevention of hypothermia, short-acting anesthetics to facilitate early emergence, regional anesthesia, nausea and vomiting control, opioid-sparing analgesia, euvolemic fluid management, minimally invasive surgery, early chest drain removal, avoidance of urinary catheters, and early mobilization after surgery.
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Gao et al. (2019) conducted a review in Lung surgery. Enhanced recovery after surgery (ERAS) protocols was evaluated. Enhanced recovery after surgery (ERAS) protocols for lung surgery, encompassing preoperative preparation, intraoperative management, and postoperative care, are recommended to optimize perioperative management and improve patient prognosis.
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