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Open Access 09-09-2023 | Craniosynostosis | Review Article

Implementation of the Enhanced Recovery After Surgery (ERAS®) program in neurosurgery

Authors: Amani Belouaer, Giulia Cossu, Georgios E. Papadakis, John G. Gaudet, Maria-Helena Perez, Vivianne Chanez, Yann Boegli, Caroline Mury, David Peters, Valérie Addor, Marc Levivier, Roy Thomas Daniel, Nicolas Demartines, Mahmoud Messerer

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Background

Over the past decade, Enhanced Recovery After Surgery (ERAS®) guidelines have been proven to simplify postoperative care and improve recovery in several surgical disciplines. The authors set out to create and launch an ERAS® program for cranial neurosurgery that meets official ERAS® Society standards. The authors summarize the successive steps taken to achieve this goal in two specific neurosurgical conditions and describe the challenges they faced.

Methods

Pituitary neuroendocrine tumors (Pit-NET) resected by a transsphenoidal approach and craniosynostosis (Cs) repair were selected as appropriate targets for the implementation of ERAS® program in the Department of Neurosurgery. A multidisciplinary team with experience in managing these pathologies was created. A specialized ERAS® nurse coordinator was hired. An ERAS® certification process was performed involving 4 seminars separated by 3 active phases under the supervision of an ERAS® coach.

Results

The ERAS® Pit-NET team included 8 active members. The ERAS® Cs team included 12 active members. Through the ERAS® certification process, areas for improvement were identified, local protocols were written, and the ERAS® program was implemented. Patient-centered strategies were developed to increase compliance with the ERAS® protocols. A prospective database was designed for ongoing program evaluation. Certification was achieved in 18 months. Direct costs and time requirements are reported.

Conclusion

Successful ERAS® certification requires a committed multidisciplinary team, an ERAS® coach, and a dedicated nurse coordinator.

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Title: Implementation of the Enhanced Recovery After Surgery (ERAS®) program in neurosurgery
Authors: Amani Belouaer
Giulia Cossu
Georgios E. Papadakis
John G. Gaudet
Maria-Helena Perez
Vivianne Chanez
Yann Boegli
Caroline Mury
David Peters
Valérie Addor
Marc Levivier
Roy Thomas Daniel
Nicolas Demartines
Mahmoud Messerer
Publication date: 09-09-2023
Publisher: Springer Vienna
Keywords: Craniosynostosis
Pituitary Adenoma
Neuroendocrine Tumor
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05789-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Implementation of the Enhanced Recovery After Surgery (ERAS®) program in neurosurgery

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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