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Cited by 384

The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Open access
Melnyk, Megan, Casey, Rowan G., Black, Peter, Koupparis, Anthony J.·2011·Canadian Urological Association Journal
DOI 10.5489/cuaj.11002
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Abstract

Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counselling, optimization of nutrition, standardized analgesic and anesthetic regimens and early mobilization. Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow.The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.

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Metadata

Authors
Melnyk, M., Casey, R. G., Black, P., & Koupparis, A. J.
Venue
Canadian Urological Association Journal
Publisher
Canadian Urological Association Journal
Published
2011-10-01
Volume
5
Issue
5
Pages
342-348
ISSN
  • 1911-6470 (ISSN-L)
  • 1920-1214
DOI
10.5489/cuaj.11002
OpenAlex
W2105963978
Cited by
384
References
69
FWCI
5.42
Type
journal article
Language
en
Open access
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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).

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