Organization of accelerated recovery and early rehabilitation of surgical patients within the framework of the service of anesthesiology and resuscitation: literature review

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Abstract

Accelerated recovery after surgery, according to publications, has been developed since 1980 and is a multimodal strategy aimed at reducing the physiological response to surgical trauma, rapid recovery and early discharge of the patient. This study aimed to analyze the feasibility of introducing a methodology for accelerated recovery of the patient after surgery and early discharge from the surgical hospital. A study of the literature and formulation of a theoretical algorithm for the implementation of the process of accelerated recovery after surgery or fast track. According to publications, accelerated recovery from surgery has been developed since 1980 and is a multimodal strategy intended to reduce the physiological response to surgical trauma and accelerating recovery and early discharge of the patient. This concept consists of scientifically based approaches to the perioperative and postoperative management of surgical patients and represents a radical revision of the established traditional approach. Solving organizational issues of implementing the fast track concept in multidisciplinary hospitals in our country is a key factor toward wider dissemination and implementation of accelerated recovery after surgery.

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About the authors

Andrey A. Manevskiy

The Russian National Research Medical University named after N.I. Pirogov

Email: a_manevskiy@mail.ru
ORCID iD: 0000-0002-8776-1368
SPIN-code: 8971-9870

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Sergey V. Sviridov

The Russian National Research Medical University named after N.I. Pirogov

Email: sergey.sviridov.59@mail.ru
ORCID iD: 0000-0002-9976-8903
SPIN-code: 4974-9195

MD, Dr. Sci. (Med.)

Russian Federation, Moscow

Sergey A. Oprishchenko

The Russian National Research Medical University named after N.I. Pirogov

Email: 2277878@bk.ru
ORCID iD: 0000-0002-4170-8959
SPIN-code: 4668-7156

MD, Dr. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

Natalya V. Polunina

The Russian National Research Medical University named after N.I. Pirogov

Email: nvpol@rambler.ru
ORCID iD: 0000-0001-8772-4631
SPIN-code: 3234-5862

MD, Dr. Sci. (Med.), Professor, Academician of RAS

Russian Federation, Moscow

Valeri S. Polunin

The Russian National Research Medical University named after N.I. Pirogov

Author for correspondence.
Email: lunapol@yandex.ru
ORCID iD: 0000-0002-2681-8527
SPIN-code: 3491-4908

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

References

  1. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg. 2002;183(6):630–641. doi: 10.1016/s0002-9610(02)00866-8
  2. Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Acta Orthop. 2020;91(1):3–19. doi: 10.1080/17453674.2019.1683790
  3. Kehlet H. Enhanced postoperative recovery: good from afar, but far from good? Anaesthesia. 2020;75(Suppl. 1):e54–e61. doi: 10.1111/anae.14860
  4. Ban KA, Berian JR, Ko CY. Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes? Clin Colon Rectal Surg. 2019;32(2):109–113. doi: 10.1055/s-0038-1676475
  5. Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J Surg. 2019;43(3):659–695. doi: 10.1007/s00268-018-4844-y
  6. Low DE, Allum W, De Manzoni G, et al. Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. World J Surg. 2019;43(2):299–330. doi: 10.1007/s00268-018-4786-4
  7. Ageenko AM, Sadovoy MA, Shelyakina OV, Ovtin MA. Fast-track hip and knee arthroplasty (literature review). Traumatology and Orthopedics of Russia. 2017;23(4):146–155. (In Russ). doi: 10.21823/2311-2905-2017-23-4-146-155
  8. Grin AA, Danilova AV, Sergeev KS. Experience in using the fast protocol in a patient with polytrauma accompanied by fractures of the pelvic and hip bones. Polytrauma. 2018;1:60–64. (In Russ).
  9. Kulikov AS. Anesteziologicheskie aspekty uskorennogo posleoperatsionnogo vosstanovleniya v neirokhirurgii [dissertation]. Moscow; 2020. Available from: https://www.dissercat.com/content/anesteziologicheskie-aspekty-uskorennogo-posleoperatsionnogo-vosstanovleniya-v-neirokhirurgi/read. Accessed: 07.05.2022 (In Russ).
  10. Klinicheskie rekomendatsii po vnedreniyu programmy uskorennogo vyzdorovleniya patsientov posle planovykh khirurgicheskikh vmeshatel’stv na obodochnoi kishke. Moscow: XIX S”ezd Obshchestva endoskopicheskikh khirurgov Rossii; 2016. Available from: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/upload/nkr_fast_track.pdf. Accessed: 07.05.2022 (In Russ).
  11. Dobrokhotova YuE, Ter-Ovanesov MD, Borovkova EI, et al. The concept of enhanced recovery after surgery in gynecological oncology. RMJ. 2018;5(I):45–50. (In Russ).
  12. Golbraych VA, Maskin SS, Arutyunyan AG. Algorithms of the «fast track» program in plane and emergency abdominal surgery. Journal of VolgSMU. 2019;3(71):3–8. (In Russ).
  13. Melloul E, Hübner M, Scott M, et al. Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations. World J Surg. 2016;40(10):2425–2440. doi: 10.1007/s00268-016-3700-1
  14. Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer. 2019;29(4):651–668. doi: 10.1136/ijgc-2019-000356
  15. Huber GF, Dort JC. Reducing morbidity and complications after major head and neck cancer surgery: the (future) role of enhanced recovery after surgery protocols. Curr Opin Otolaryngol Head Neck Surg. 2018;26(2):71–77. doi: 10.1097/MOO.0000000000000442
  16. Wang D, Liu Z, Zhou J, et al. Barriers to implementation of enhanced recovery after surgery (ERAS) by a multidisciplinary team in China: a multicentre qualitative study. BMJ Open. 2022;12(3):e053687. doi: 10.1136/bmjopen-2021-053687
  17. Cohen R, Gooberman-Hill R. Staff experiences of enhanced recovery after surgery: systematic review of qualitative studies. BMJ Open. 2019;9(2):e022259. doi: 10.1136/bmjopen-2018-022259
  18. Zatevakhin II, Pasechnik IN, Gubaidullin RR, et al. Accelerated postoperative rehabilitation: multidisciplinary issue. Part 1. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2015;(9):48. (In Russ). doi: 10.17116/hirurgia201594-8
  19. Belkin AA, Alasheev AM, Belkin VA, et al. Rehabilitation in the intensive care unit (RehabICU). Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists. Annals of Critical Care. 2022;2:7–40. (In Russ). doi: 10.21320/1818-474X-2022-2-7-40
  20. Kotfis K, Marra A, Ely EW. ICU delirium — a diagnostic and therapeutic challenge in the intensive care unit. Anaesthesiol Intensive Ther. 2018;50(2):160–167. doi: 10.5603/AIT.a2018.0011
  21. Krewulak KD, Stelfox HT, Leigh JP, et al. Incidence and Prevalence of Delirium Subtypes in an Adult ICU: A Systematic Review and Meta-Analysis. Crit Care Med. 2018; 46(12):2029–2035. doi: 10.1097/CCM.0000000000003402
  22. Markwart R, Saito H, Harder T, et al. Epidemiology and burden of sepsis acquired in hospitals and intensive care units: a systematic review and meta-analysis. Intensive Care Med. 2020;46(8):1536–1551. doi: 10.1007/s00134-020-06106-2
  23. Simpson JC, Bao X, Agarwala A. Pain Management in Enhanced Recovery after Surgery (ERAS) Protocols. Clin Colon Rectal Surg. 2019;32(2):121–128. doi: 10.1055/s-0038-1676477
  24. Joshi GP, Kehlet H. Postoperative pain management in the era of ERAS: An overview. Best Pract Res Clin Anaesthesiol. 2019;33(3):259–267. doi: 10.1016/j.bpa.2019.07.016
  25. Beverly A, Kaye AD, Ljungqvist O, et al. Essential Elements of Multimodal Analgesia in Enhanced Recovery After Surgery (ERAS) Guidelines. Anesthesiol Clin. 2017;35(2):e115–e143. doi: 10.1016/j.anclin.2017.01.018
  26. De Boer HD, Detriche O, Forget P. Opioid-related side effects: Postoperative ileus, urinary retention, nausea and vomiting, and shivering. A review of the literature. Best Pract Res Clin Anaesthesiol. 2017;31(4):499–504. doi: 10.1016/j.bpa.2017.07.002
  27. Hyland SJ, Brockhaus KK, Vincent WR, et al. Perioperative Pain Management and Opioid Stewardship: A Practical Guide. Healthcare (Basel). 2021;9(3):333. doi: 10.3390/healthcare9030333
  28. Gupta AK, Mena S, Jin Z, et al. Postoperative pain: a review of emerging therapeutic options. Expert Rev Neurother. 2021;21(10):1085–1100. doi: 10.1080/14737175.2021.1974840
  29. Grabitz SD, Rajaratnam N, Chhagani K, et al. The Effects of Postoperative Residual Neuromuscular Blockade on Hospital Costs and Intensive Care Unit Admission: A Population-Based Cohort Study. Anesth Analg. 2019;128(6):1129–1136. doi: 10.1213/ANE.0000000000004028
  30. Kheterpal S, Vaughn MT, Dubovoy TZ, et al. Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade and Postoperative Pulmonary Complications (STRONGER): A Multicenter Matched Cohort Analysis. Anesthesiology. 2020;132(6):1371–1381. doi: 10.1097/ALN.0000000000003256
  31. Small C, Laycock H. Acute postoperative pain management. Br J Surg. 2020;107(2):e70–e80. doi: 10.1002/bjs.11477
  32. Ovechkin AM, Bayalieva AZh, Ezhevskaya AA, et al. Postoperative analgesia. Guidelines. Annals of Critical Care. 2019;4:9–33. (In Russ). doi: 10.21320/1818-474X-2019-4-9-33
  33. Zagorulko OI, Medvedeva LA, Churyukanov MV. Chronic postoperative pain. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2021;(62):8488. (In Russ). doi: 10.17116/hirurgia202106284
  34. Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet. 2019;393(10180):15371546. doi: 10.1016/S0140-6736(19)30352-6
  35. Stamer UM, Liguori GA, Rawal N. Thirty-five Years of Acute Pain Services: Where Do We Go From Here? Anesth Analg. 2020;131(2):650656. doi: 10.1213/ANE.0000000000004655
  36. Ready LB, Oden R, Chadwick HS, et al. Development of an anesthesiology-based postoperative pain management service. Anesthesiology. 1988;68(1):100–106. doi: 10.1097/00000542-198801000-00016
  37. Voloshin AG, Lyadov KV, Kiryushin DN, et al. Clinical aspects of the service of acute postoperative pain treatment. Russian Journal of Anaesthesiology and Reanimatology. 2015;60(1):25–29. (In Russ).
  38. Zagorulko OI, Medvedeva LA. Multidisciplinary approach to chronic pain treatment, its economic advisability. Clinical and Experimental Surgery. 2016;13(3):13–19. (In Russ).
  39. Miclescu A, Butler S, Karlsten R. The changing face of acute pain services. Scand J Pain. 2017;16:204–210. doi: 10.1016/j.sjpain.2017.04.072
  40. Zatevachin II, Pasechnik IN. The program of accelerated recovery in surgery (fast track) has been introduced. What’s the next? Grekov’s Bulletin of Surgery. 2018;177(3):70–75. (In Russ). doi: 10.24884/0042-4625-2018-177-3-70-75
  41. Program of the III Conference of the Interdisciplinary Scientific Surgical Society «FAST TRACK»; 2017 Nov 9–10; Moscow. Available from: fast-track2017.ru. Accessed: 07.05.2022. (In Russ).
  42. Il’ina OV. Khirurgicheskie aspekty gastrektomii v ramkakh programmy uskorennogo vosstanovleniya [dissertation]. Moscow; 2021. Available from: https://www.vishnevskogo.ru/download/dissertation_council/com_prot_ds/2022/IlinaOV-2022-3.pdf. Accessed: 07.05.2022. (In Russ).
  43. Nechai TV. Uskorennaya reabilitatsiya posle laparoskopicheskikh operatsii pri naibolee rasprostranennykh ekstrennykh zabolevaniyakh organov bryushnoi polosti [dissertation]. Moscow; 2021. Available from: http://www.dslib.net/xirurgia/uskorennaja-reabilitacija-posle-laparoskopicheskih-operacij-pri-naibolee.html. Accessed: 07.05.2022. (In Russ).
  44. Idashkin AD. Realizatsiya printsipov FAST TRACK-khirurgii pri laparoskopicheskikh i robot-assistirovannykh operatsiyakh v ginekologii [dissertation]. Moscow; 2021. Available from: https://rusneb.ru/catalog/000199_000009_010768049/. Accessed: 07.05.2022. (In Russ).

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2. Fig. Elements of accelerated recovery after surgery and patient rehabilitation. Source: Manevskiy A.A., et al., 2022. Note. ФРМ — physical and rehabilitation medicine, ЛФК — therapeutic physical training.

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