Key result
The Enhanced Recovery After Thoracic Surgery (ERATS) protocol, featuring opioid-sparing multimodal analgesics, consistently reduces postoperative opioid utilization and hospital length of stay.
Why the study?
To review postoperative pain control using the innovative strategy of opioid-sparing multimodal analgesics within the enhanced recovery after thoracic surgery care pathway.
This review highlights the success of the ERATS protocol, specifically focusing on opioid-sparing multimodal analgesics for postoperative pain control in thoracic surgery.
Literature supports ERAS success in thoracic surgery; leaves open need for prospective RCTs before routine adoption.
In the last decade, the implementation of enhanced recovery protocol for patients undergoing thoracic surgical procedures, either by thoracotomy or thoracoscopy, has gained significant recognition. Such protocols have been developed following the enhanced recovery after surgery (ERAS) guiding principles, yet have been tailored with attention to the unique nuances of thoracic surgical patients. Over the last 5 years, a body of literature has been published attesting to the success of the enhanced recovery after thoracic surgery (ERATS) protocol, with reported improvements of measurable outcome metrics. This mini-review focuses on postoperative pain control using the innovative strategy of opioid-sparing multimodal analgesics of the ERATS care pathway.
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Szewczyk et al. (2020) conducted a review in Postoperative pain after thoracic surgery. Enhanced Recovery After Thoracic Surgery (ERATS) protocol vs. Traditional pain management was evaluated. The Enhanced Recovery After Thoracic Surgery (ERATS) protocol, featuring opioid-sparing multimodal analgesics, consistently reduces postoperative opioid utilization and hospital length of stay.
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