The DOI matches its Crossref record; 85 of the 85 references it cites were found in a registry or an index.
A review of enhanced recovery for thoracic anaesthesia and surgery
Abstract
Summary: During the past decade, there has been a dramatic increase in the number of thoracic surgical procedures carried out in the UK . The current financial climate dictates that more efficient use of resources is necessary to meet escalating demands on healthcare. One potential means to achieve this is through the introduction of enhanced recovery protocols, designed to produce productivity savings by driving reduction in length of stay. These have been promoted by government bodies in a number of surgical specialties, including colorectal, gynaecological and orthopaedic surgery. This review focuses on aspects of peri‐operative care that might be incorporated into such a programme for thoracic anaesthesia, for which an enhanced recovery programme has not yet been introduced in the UK, and a review of the literature specific to this area of practice has not been published before. We performed a comprehensive search for published work relating to the peri‐operative management and optimisation of patients undergoing thoracic surgery, and divided these into appropriate areas of practice. We have reviewed the specific interventions that may be included in an enhanced recovery programme, including: pre‐optimisation; minimising fasting time; thrombo‐embolic prophylaxis; choice of anaesthetic and analgesic technique and surgical approach; postoperative rehabilitation; and chest drain management. Using the currently available evidence, the design and implementation of an enhanced recovery programme based on this review in selected patients as a package of care may reduce morbidity and length of hospital stay, thus maximising utilisation of available resources.
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“Inadequately controlled acute pain and excessive opioid use delay recovery and hospital discharge after many surgeries.53–56”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [55]
Citations
Cites
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Preoperative fasting for adults to prevent perioperative complications
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“out increasing complications [43], although specific data from patients of ASA status 3–4, such as many thoracic surgical candidates, are lacking.”
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Guidelines on the radical management of patients with lung cancer
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Research works printed but not linked: 2
- NHS Modernisation Agency, 2003, National Good Practice Guidance on Pre‐assessment for In‐Patient Surgery
- Rasburn N, 2011, The first UK experience of an enhanced recovery program in thoracic surgery
Cited by
Poorly controlled postoperative pain: prevalence, consequences, and prevention
Gan, T. J. (2017) · Journal of Pain Research · doi:10.2147/jpr.s144066 · Cited by 1,489
Katz, J., Weinrib, A., Fashler, S., Katznelson, R., Shah, B., Ladak, S., Jiang, J., Li, Q., McMillan, K., Santa Mina, D., et al. (2015) · Journal of Pain Research · doi:10.2147/jpr.s91924 · Cited by 315
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Sebio-Garcia, R., Brage, M. I. Y., Moolhuyzen, E. G., Rioboo, M. S., Lista-Paz, A., & Mate, J. M. B. (2016) · Clinical Rehabilitation · doi:10.1177/0269215516684179 · Cited by 139
Prehabilitation in thoracic surgery
Sánchez-Lorente, D., Navarro‐Ripoll, R., Guzmán, R., Moisés, J., Gimeno, E., Boada, M., & Molins, L. (2018) · Journal of Thoracic Disease · doi:10.21037/jtd.2018.08.18 · Cited by 133
Metadata
- Authors
- Jones, N. L., Edmonds, L., Ghosh, S., & Klein, A. A.
- Affiliations
- Anaesthesia and Intensive Care Cambridge UK
- Royal Papworth Hospital (GB)
- Corresponding author
- Klein, A. A.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2012-11-05
- Volume
- 68
- Issue
- 2
- Pages
- 179-189
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2082981221
- Cited by
- 107
- References
- 84
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 19 · 2020: 10 · 2019: 7 · 2018: 18 · 2017: 8 · 2016: 14 · 2015: 11 · 2014: 4 · 2013: 4
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
- Keywords
- enhanced recovery after surgery, thoracic surgery, thoracic anesthesia, perioperative care, preoperative optimization, preoperative fasting, thromboprophylaxis, anesthetic techniques, analgesia, surgical approach, postoperative rehabilitation, chest drain management, length of hospital stay, health care utilization
- MeSH terms
- Anesthesia, Anesthesia Recovery Period, United Kingdom, Humans, Length of Stay, Thoracic Surgical Procedures, Perioperative Care
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- CoChat. (2026). Citation check: A review of enhanced recovery for thoracic anaesthesia and surgery. https://app.cochat.ai/papers/10.1111/anae.12067
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- Jones, N. L., Edmonds, L., Ghosh, S., & Klein, A. A. (2013). A review of enhanced recovery for thoracic anaesthesia and surgery. Anaesthesia. https://doi.org/10.1111/anae.12067
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.