Beyond procedure-specific protocols: a systematic review identifying a universal anaesthesiological core across Enhanced Recovery After Surgery Society guidelines.
Br J AnaesthJul 18, 2026 (epub)
Clinical ResearchAnesthesiology
Helmar Bornemann-Cimenti, Jakob M Furtmüller, Sebastian Labenbacher et al.
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In 30 seconds
This systematic review examined Enhanced Recovery After Surgery (ERAS) guidelines to identify a universal anaesthesiological core across 24 included guidelines. It found that 23 guidelines included anaesthesiological recommendations, with eight domains classified as consistent. The mean AGREE II score was 76%, indicating overall good methodological quality.
Key findings
- Eight anaesthesiological domains were identified as consistent across ERAS guidelines.
- The mean AGREE II score for the guidelines was 76%.
- Anaesthesiological involvement was present in 23 out of 24 ERAS guidelines.
- High-frequency, mixed-strength domains included fluid management and preoperative carbohydrate administration.
Why it matters
Identifying a universal anaesthesiological core within ERAS guidelines can enhance the consistency of perioperative care across different surgical specialties, potentially improving patient outcomes and streamlining clinical practices.