TY - JOUR
T1 - Enhanced Recovery after Craniotomy
T2 - Global Practices, Challenges, and Perspectives
AU - Di Donato, Anne
AU - Velásquez, Carlos
AU - Larkin, Caroline
AU - Baron Shahaf, Dana
AU - Bernal, Eduardo Hernandez
AU - Shafiq, Faraz
AU - Kalipinde, Francis
AU - Mwiga, Fredson F.
AU - Jose, Geraldine Raphaela B.
AU - Naidu Gangineni, Kishore K.
AU - Nijs, Kristof
AU - Moipolai, Lapale
AU - Venkatraghavan, Lashmi
AU - Lukoko, Lilian
AU - Pandia, Mihir Prakash
AU - Jian, Minyu
AU - Masohood, Naeema S.
AU - Juul, Niels
AU - Avitsian, Rafi
AU - Manohara, Nitin
AU - Srinivasaiah, Rajesha
AU - Takala, Riikka
AU - Lamsal, Ritesh
AU - Al Khunein, Saleh A.
AU - Sudadi, Sudadi
AU - Cerny, Vladimir
AU - Chowdhury, Tumul
N1 - Publisher Copyright:
© 2024 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2025/7/1
Y1 - 2025/7/1
N2 - The global demand for hospital care, driven by population growth and medical advances, emphasizes the importance of optimized resource management. Enhanced Recovery After Surgery (ERAS) protocols aim to expedite patient recovery and reduce health care costs without compromising patient safety or satisfaction. Its principles have been adopted in various surgical specialties but have not fully encompassed all areas of neurosurgery, including craniotomy. ERAS for craniotomy has been shown to reduce the length of hospital stay and costs without increasing complications. ERAS protocols may also reduce postoperative nausea and vomiting and perioperative opioid requirements, highlighting their potential to enhance patient outcomes and health care efficiency. Despite these benefits, guidelines, and strategies for ERAS in craniotomy remain limited. This narrative review explores the current global landscape of ERAS for craniotomy, assessing existing literature and highlighting knowledge gaps. Experts from 26 countries with diverse cultural and socioeconomic backgrounds contributed to this review, offering insights about current ERAS protocol applications, implementation challenges, and future perspectives, and providing a comprehensive global overview of ERAS for craniotomy. Representatives from all 6 World Health Organization geographical world areas reported that barriers to the implementation of ERAS for craniotomy include the absence of standardized protocols, provider resistance to change, resource constraints, insufficient education, and research scarcity. This review emphasizes the necessity of tailored ERAS protocols for low and middle-income countries, addressing differences in available resources. Acknowledging limitations in subjectivity and article selection, this review provides a comprehensive overview of ERAS for craniotomy from a global perspective and underscores the need for adaptable ERAS protocols tailored to specific health care systems and countries.
AB - The global demand for hospital care, driven by population growth and medical advances, emphasizes the importance of optimized resource management. Enhanced Recovery After Surgery (ERAS) protocols aim to expedite patient recovery and reduce health care costs without compromising patient safety or satisfaction. Its principles have been adopted in various surgical specialties but have not fully encompassed all areas of neurosurgery, including craniotomy. ERAS for craniotomy has been shown to reduce the length of hospital stay and costs without increasing complications. ERAS protocols may also reduce postoperative nausea and vomiting and perioperative opioid requirements, highlighting their potential to enhance patient outcomes and health care efficiency. Despite these benefits, guidelines, and strategies for ERAS in craniotomy remain limited. This narrative review explores the current global landscape of ERAS for craniotomy, assessing existing literature and highlighting knowledge gaps. Experts from 26 countries with diverse cultural and socioeconomic backgrounds contributed to this review, offering insights about current ERAS protocol applications, implementation challenges, and future perspectives, and providing a comprehensive global overview of ERAS for craniotomy. Representatives from all 6 World Health Organization geographical world areas reported that barriers to the implementation of ERAS for craniotomy include the absence of standardized protocols, provider resistance to change, resource constraints, insufficient education, and research scarcity. This review emphasizes the necessity of tailored ERAS protocols for low and middle-income countries, addressing differences in available resources. Acknowledging limitations in subjectivity and article selection, this review provides a comprehensive overview of ERAS for craniotomy from a global perspective and underscores the need for adaptable ERAS protocols tailored to specific health care systems and countries.
KW - ERAS for craniotomy
KW - ERAS global perspective
KW - enhanced recovery in craniotomy
KW - hospital cost reduction
KW - hospital length of stay
UR - https://www.scopus.com/pages/publications/85209228279
U2 - 10.1097/ANA.0000000000001011
DO - 10.1097/ANA.0000000000001011
M3 - Review article
C2 - 39494915
AN - SCOPUS:85209228279
SN - 0898-4921
VL - 37
SP - 255
EP - 264
JO - Journal of Neurosurgical Anesthesiology
JF - Journal of Neurosurgical Anesthesiology
IS - 3
ER -