Enhanced Recovery After Surgery (ERAS) for Cranial Tumor Resection: A Review

World Neurosurg. 2022 Jul:163:104-122.e2. doi: 10.1016/j.wneu.2022.03.118. Epub 2022 Apr 4.

Abstract

Enhanced Recovery After Surgery (ERAS) protocols describe a standardized method of preoperative, perioperative, and postoperative care to enhance outcomes and minimize complication risks surrounding elective surgical intervention. A growing body of evidence is being generated as we learn to apply principles of ERAS standardization to neurosurgical patients. First applied in spinal surgery, ERAS protocols have been extended to cranial neuro-oncologic procedures. This review synthesizes recent findings to generate evidence-based guidelines to manage neurosurgical oncology patients with standardized systems and assess ability of these systems to coordinate multidisciplinary, patient-centric care efforts. Furthermore, we highlight the potential usefulness of multimedia, app-based communication platforms to facilitate patient education, autonomy, and team communication within each of the 3 settings.

Keywords: Clinical outcomes; Enhanced Recovery After Surgery (ERAS); Major cranial surgery; Multimodal; Patient satisfaction.

Publication types

  • Review

MeSH terms

  • Elective Surgical Procedures / adverse effects
  • Enhanced Recovery After Surgery*
  • Humans
  • Length of Stay
  • Perioperative Care / methods
  • Postoperative Care
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control