Key result
The Enhanced Recovery After Thoracic Surgery (ERATS) program reduces postoperative complications, hospital length of stay, and opioid usage while improving patient satisfaction.
Why the study?
This article aims to provide a practical guide and describe the history and critical elements of an enhanced recovery program for implementation in thoracic surgery departments.
Implementation of a comprehensive Enhanced Recovery After Thoracic Surgery (ERATS) program provides a practical framework to significantly reduce opioid consumption, decrease hospital length of stay, and improve postoperative recovery.
May support ERATS evaluation in thoracic surgery; leaves open need for randomized confirmation.
The Enhanced Recovery Program (ERP) is a comprehensive, multidisciplinary approach that directly impacts the functional recovery and quality of life of patients after surgery. Initiated in 2013 at The University of Texas MD Anderson Cancer Center by the Liver Surgery group and expanded to numerous specialties, the Thoracic and Cardiovascular Surgery Department developed a version of Enhanced Recovery After Thoracic Surgery in 2014. The benefits gained thus far include (1) decreased postoperative complications, (2) reduced hospital length of stay, (3) decreased opioid usage, (4) decreased healthcare costs, and (5) improved patient satisfaction. This article aims to provide a brief description of the history of the enhanced recovery approach and to identify the critical elements of the program necessary for improved patient care. It is intended to serve as a practical guide for program implementation in thoracic surgery departments at other institutions.
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Woodard et al. (2021) conducted a review in Thoracic surgery. Enhanced Recovery After Thoracic Surgery (ERATS) was evaluated. The Enhanced Recovery After Thoracic Surgery (ERATS) program reduces postoperative complications, hospital length of stay, and opioid usage while improving patient satisfaction.
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