TY - JOUR
T1 - Enhanced Recovery after Cesarean Delivery & Role of Anesthesiologists
T2 - A Narrative Review
AU - Ismail, Samina
AU - Hameed, Malika
N1 - Publisher Copyright:
© 2023 Journal of Obstetric Anaesthesia and Critical Care.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Enhanced recovery after cesarean delivery (ERAC) is an evidence‑based interdisciplinary protocol with an aim to improve quality of care and patient satisfaction while lowering health care cost by reducing length of hospital stay. It is an approach that combines several evidence‑based perioperative care components to hasten patient recovery. ERAC uses multidisciplinary approach with inclusion of all stakeholders including anesthesiologists, obstetricians, pediatricians, nurses, pharmacists, patients, and hospital administration. Therefore, institutional support, local infrastructure, and compliance of all supporting systems are necessary for the successful implementation of ERAC. The role of anesthesiologists in implementation of standardized care cannot be disregarded as they are involved in the provision of perioperative services to improve maternal outcomes and healthcare quality. The purpose of this narrative review is to explore the components and guidelines from the enhanced recovery after surgery for caesarean delivery, highlight the responsibility of anesthesiologists in the existing and emerging ERAC programs and the difficulties associated with implementing the ERAC in resource‑constrained environments.
AB - Enhanced recovery after cesarean delivery (ERAC) is an evidence‑based interdisciplinary protocol with an aim to improve quality of care and patient satisfaction while lowering health care cost by reducing length of hospital stay. It is an approach that combines several evidence‑based perioperative care components to hasten patient recovery. ERAC uses multidisciplinary approach with inclusion of all stakeholders including anesthesiologists, obstetricians, pediatricians, nurses, pharmacists, patients, and hospital administration. Therefore, institutional support, local infrastructure, and compliance of all supporting systems are necessary for the successful implementation of ERAC. The role of anesthesiologists in implementation of standardized care cannot be disregarded as they are involved in the provision of perioperative services to improve maternal outcomes and healthcare quality. The purpose of this narrative review is to explore the components and guidelines from the enhanced recovery after surgery for caesarean delivery, highlight the responsibility of anesthesiologists in the existing and emerging ERAC programs and the difficulties associated with implementing the ERAC in resource‑constrained environments.
KW - Cesarean Section
KW - enhanced recovery after surgery
KW - obstetric anesthesia
KW - patient Satisfaction
KW - postoperative period
KW - resource limited countries
KW - spinal hypotension
UR - https://www.scopus.com/pages/publications/105005007168
U2 - 10.4103/JOACC.JOACC_74_22
DO - 10.4103/JOACC.JOACC_74_22
M3 - Review article
AN - SCOPUS:105005007168
SN - 2249-4472
VL - 13
SP - 3
EP - 8
JO - Journal of Obstetric Anaesthesia and Critical Care
JF - Journal of Obstetric Anaesthesia and Critical Care
IS - 1
ER -