Enhanced Recovery After Surgery in clipping surgery for unruptured cerebral aneurysm: prospective nonrandomized controlled trial.
Jaemin Yu, Jung Jae Kim, Susy Youn et al.
✦ AI-curated · Sources linked
In 30 seconds
This prospective nonrandomized controlled trial evaluated the impact of an Enhanced Recovery After Surgery (ERAS) protocol on recovery in adults undergoing elective clipping for unruptured cerebral aneurysms. The study found that the ERAS group experienced significantly lower postoperative pain scores across days 0-3, reduced postoperative nausea and vomiting (PONV), and improved recovery quality as measured by the QoR-40 score on postoperative day 2.
Key findings
- Postoperative pain scores were significantly lower in the ERAS group across postoperative days 0-3 (all p < 0.001).
- Opioid use decreased markedly with earlier transition to oral nonopioid analgesics in the ERAS group.
- The incidence of PONV was significantly lower from postoperative days 1 to 3 in the ERAS group.
- QoR-40 scores on postoperative day 2 were higher in the ERAS group, indicating improved comfort and well-being.
Why it matters
Implementing ERAS protocols in neurosurgery may enhance patient recovery by improving pain management and reducing postoperative complications, which can lead to shorter hospital stays and better overall patient satisfaction.