Abstract
Aim This study aimed to assess the efficacy of enhanced recovery after surgery (ERAS) regarding the reduction of length of hospital stay, incidence of complications, and readmission rate in patients undergoing open renal surgery. Settings and design This cohort study was conducted at the theater for urological surgeries at the Cairo University Teaching Hospital. Patients and methods The patients received general anesthesia using the standard center preferences. General anesthesia was supplemented by regional anesthesia in the form of erector spinae plane block (ESPB). Then patients were awakened using the ERAS protocol. Sixty-five adult patients (aged 18–60 years) of both sexes who were scheduled for open renal surgery under general anesthesia were included in the study. Patients with an American Association of Anesthesiologists physical status I or II were eligible. The visual analog scale (VAS) was used to assess the level of pain helping rapid recovery of all patients. Patients received ESPB after general anesthesia. Proper analgesia was assessed and evaluated to help patients with rapid ambulation and recovery. Days of hospital stay and postoperative pain were measured using the VAS score at specific intervals. In addition, the number of daily opioid doses administered, time to ambulation, time of indwelling nephrostomy tube and urethral catheter, and incidence of complications (secondary hemorrhage) were recorded. Results During our ERAS plan supplementing general anesthesia with ESPB in patients scheduled for open renal surgeries, VAS scores were significantly low which did not need extra analgesics in most cases, and the daily doses of nalbuphine required were significantly decreased. Early ambulation has shown a great improvement with a shorter hospital stay and early removal of drains and catheters with a lower incidence of complications. Conclusions ERAS is a multimodal approach to perioperative care that can be applied to any type of surgery, and it has been shown to improve patient recovery, reduce complications, enhance patient satisfaction, and lower hospitalization costs following open renal surgeries.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call