Literature DB >> 30933912

Development and implementation of a comprehensive spine surgery enhanced recovery after surgery protocol: the Cleveland Clinic experience.

Vikram B Chakravarthy1, Hana Yokoi2, Daniel J Coughlin1, Mariel R Manlapaz3, Ajit A Krishnaney1.   

Abstract

Enhanced recovery after surgery (ERAS) protocols have been shown to be effective at reducing perioperative morbidity and costs while improving outcomes. To date, spine surgery protocols have been limited in scope, focusing only on specific types of procedures or specific parts of the surgical episode. The authors describe the creation and implementation of one of the first comprehensive ERAS protocols for spine surgery. The protocol is unique in that it has a comprehensive perioperative paradigm encompassing the entire surgical period that is tailored based on the complexity of each individual spine patient.

Entities:  

Keywords:  CCF = Cleveland Clinic Foundation; DVT = deep venous thrombosis; ERAS; ERAS = enhanced recovery after surgery; LOS = length of stay; NSQIP = National Surgical Quality Improvement Program; POD = postoperative day; SSI = surgical site infection; TXA = tranexamic acid; VTE = venous thromboembolism; blood management; spine surgery; surgical outcomes

Mesh:

Year:  2019        PMID: 30933912     DOI: 10.3171/2019.1.FOCUS18696

Source DB:  PubMed          Journal:  Neurosurg Focus        ISSN: 1092-0684            Impact factor:   4.047


  9 in total

1.  Enhanced recovery after surgery (ERAS) improves return of physiological function in frail patients undergoing one- to two-level TLIFs: an observational retrospective cohort study.

Authors:  Ken Porche; Sandra Yan; Basma Mohamed; Cynthia Garvan; Ronny Samra; Kaitlyn Melnick; Sasha Vaziri; Christoph Seubert; Matthew Decker; Adam Polifka; Daniel J Hoh
Journal:  Spine J       Date:  2022-04-18       Impact factor: 4.297

2.  Predictors of Complications and Unfavorable Outcomes of Minimally Invasive Surgery Treatment in Elderly Patients With Degenerative Lumbar Spine Pathologies (Case Series).

Authors:  Vladimir Klimov; Aleksey Evsyukov; Evgeniya Amelina; Sergey Ryabykh; Alexander Simonovich
Journal:  Front Surg       Date:  2022-04-26

Review 3.  What Is the Evidence for Early Mobilisation in Elective Spine Surgery? A Narrative Review.

Authors:  Louise C Burgess; Thomas W Wainwright
Journal:  Healthcare (Basel)       Date:  2019-07-18

4.  Patient Information Leaflets for Lumbar Spine Surgery: A Missed Opportunity.

Authors:  Matthew Low; Louise C Burgess; Thomas W Wainwright
Journal:  J Patient Exp       Date:  2019-12-26

5.  Recoup From Home? Comparison of Relative Cost Savings for ACDF, Lumbar Discectomy, and Short Segment Fusion Performed in the Inpatient Versus Outpatient Setting.

Authors:  Christopher M Mikhail; Murray Echt; Stephen R Selverian; Samuel K Cho
Journal:  Global Spine J       Date:  2021-04

6.  Enhanced Recovery Pathway in Adults Undergoing Elective Posterior Thoracolumbar Fusion Surgery: Outcomes Compared with a Traditional Care Pathway.

Authors:  Khalid AlSaleh; Khalid Murrad; Abdulmajeed AlZakri; Osama Alrehaili; Waleed Awwad
Journal:  Adv Orthop       Date:  2021-09-15

7.  Can the Full-Percutaneous Endoscopic Lumbar Discectomy in Day Surgery Mode Achieve Better Outcomes Following Enhanced Recovery after Surgery Protocol? A Retrospective Comparative Study.

Authors:  Le Kou; Wentao Wan; Chao Chen; Dong Zhao; Xun Sun; Ziwei Gao; Hongjin Wu; Mingyuan Di; Xinlong Ma; Baoshan Xu; Jun Miao; Zheng Wang; Qiang Yang
Journal:  Front Surg       Date:  2022-05-20

8.  [Efficacy and safety of tranexamic acid sequential rivaroxaban on blood loss in elderly patients during lumbar interbody fusion].

Authors:  Xiaowei Yang; Dingjun Hao; Xiaodong Wang; Wenjie Gao; Hao Hui
Journal:  Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi       Date:  2020-09-15

9.  Frailty Assessment and Prehabilitation Before Complex Spine Surgery in Patients With Degenerative Spine Disease: A Narrative Review.

Authors:  Basma Mohamed; Ramani Ramachandran; Ferenc Rabai; Catherine C Price; Adam Polifka; Daniel Hoh; Christoph N Seubert
Journal:  J Neurosurg Anesthesiol       Date:  2021-08-05       Impact factor: 3.956

  9 in total

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