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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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Open Access 01-02-2015 | Editorials

Spread and adoption of enhanced recovery from elective surgery in the English National Health Service

Author: Michael G. Mythen, MD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 2/2015

Excerpt

The document Delivering Enhanced Recovery – Helping Patients to Get Better Sooner After Surgery was published by the UK Department of Health Enhanced Recovery Partnership Programme on March 10, 2010.1 The forward, in referring to the UK National Health Service (NHS), says:

“Enhanced recovery is transforming NHS elective and cancer care pathways by using a number of evidence-based interventions as a model of care enabling patients to recover sooner following surgery. This guide, developed using learning from centres across the UK, provides a starting point to support implementation of enhanced recovery.”

…

Enhanced Recovery Partnership Programme. Delivering Enhanced Recovery – Helping Patients to Get Better Sooner After Surgery. March 2010. Available from URL: http://webarchive.nationalarchives.gov.uk/20130221101407/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_119382.pdf (accessed August 2014).

NHS. Enhanced Recovery Care Pathway – a Better Journey for Patients Seven Days a Week and Better Deal for the NHS. Progress review (2012/13) and level of ambition (2014/15). Available from URL: http://www.nhsiq.nhs.uk/8846.aspx (accessed August 2014).

NHS. Fulfilling the Potential – a Better Journey for Patients and a Better Deal for the NHS. Available from URL: http://webarchive.nationalarchives.gov.uk/20130221101407/http://www.improvement.nhs.uk/documents/er_better_journey.pdf (accessed August 2014).

Knott A, Pathak S, McGrath JS, et al. Consensus views on implementation and measurement of enhanced recovery after surgery in England: Delphi study. BMJ 2012; DOI:10.1136/bmjopen-2012-001878.

Grocott MP, Martin DS, Mythen MG. Enhanced recovery pathways as a way to reduce surgical morbidity. Curr Opin Crit Care 2012; 18: 385-92.PubMedCrossRef

Fawcett WJ, Mythen MG, Scott MJ. Enhanced recovery: more than just reducing length of stay? Br J Anaesth 2012; 109: 671-4.PubMedCrossRef

Mythen M. Fit for surgery? Anesth Analg 2011; 112: 1002-4.PubMedCrossRef

Kehlet H, Mythen M. Why is the surgical high-risk patient still at risk? Br J Anaesth 2011; 106: 289-91.PubMedCrossRef

Grace C, Kuper M, Weldon S, Lees J, Modasia R, Mythen M. Service redesign. Fitter, faster: improved pathways speed up recovery. Health Serv J 2011; 121: 28-30.PubMed

10.

NHS. Innovation Health and Wealth, Accelerating Adoption and Diffusion in the NHS. December 2011. Available from URL: http://webarchive.nationalarchives.gov.uk/20130221101407/http://www.midtech.org.uk/wp-content/uploads/2010/05/InnovationHealthandWealth.pdf (accessed August 2014).

11.

Mythen MG, Swart M, Acheson N, et al. Perioperative fluid management: consensus statement from the enhanced recovery partnership. Perioper Med 2012; 1: 2.CrossRef

12.

NHS. My Role and My Responsibilities in Helping to Improve my Recovery. Steps to Successful Recovery Start Before My Operation. Available from URL: http://www.nhs.uk/Conditions/enhanced-recovery/Documents/My_Role_My_Responsibilities.pdf (accessed August 2014).

Title: Spread and adoption of enhanced recovery from elective surgery in the English National Health Service
Author: Michael G. Mythen, MD
Publication date: 01-02-2015
Publisher: Springer US
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 2/2015
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-014-0260-4

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Spread and adoption of enhanced recovery from elective surgery in the English National Health Service

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Other articles of this Issue 2/2015

Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways

Frailty and perioperative outcomes: a narrative review

Cardiopulmonary exercise testing, prehabilitation, and Enhanced Recovery After Surgery (ERAS)

Health economics in Enhanced Recovery After Surgery programs

Fluid management and goal-directed therapy as an adjunct to Enhanced Recovery After Surgery (ERAS)

Perioperative catabolism