Review of Enhanced Recovery after Surgery Principles Used for Scheduled CD: Perioperative Process Evaluation.

Review of Enhanced Recovery after Surgery Principles Used for Scheduled CD: Perioperative Process Evaluation. J Obstet Gynaecol Can. 2018 Nov 12;: Authors: Huang J, Cao C, Nelson G, Wilson RD Abstract There is an increasing body of evidence to support the success of Enhanced Recovery After Surgery (ERAS) for a wide range of surgical procedures. There has been little formalized application, however, of ERAS principles in obstetrical surgery. The aim of this review was to examine the evidence base of perioperative care for patients undergoing CD and to determine the feasibility of developing an ERAS Society guideline for this obstetrical care plan. The literature on enhanced recovery programs was reviewed, including fast track surgery and perioperative care components in the preoperative, intraoperative, and postoperative phases of CD. These studies included RCTs, prospective cohort studies, non-RCT studies, meta-analyses, systematic reviews, reviews, and case studies. This is not a systematic review because each ERAS topic area would require a new question. Certain ERAS elements have the potential to benefit patients undergoing CD. These elements include patient education, preoperative optimization, prophylaxis against thromboembolism, antimicrobial prophylaxis, postoperative nausea and vomiting prevention, hypothermia prevention, perioperative fluid management, postoperative analgesia, ileus prevention, breastfeeding promotion, and e...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research