Enhanced recovery after cesarean delivery: a challenge for anesthesiologists.

Abstract:

:Enhanced recovery after cesarean (ERAC) delivery is an evidence-based, multi-disciplinary approach throughout pre-, intra-, post-operative period. The ultimate goal of ERAC is to enhance recovery and improve the maternal and neonatal outcomes. This review highlights the role of anesthesiologist in ERAC protocols. This review provided a general introduction of ERAC including the purposes and the essential elements of ERAC protocols. The tool used for evaluating the quality of ERAC (ObsQoR-11) was discussed. The role of anesthesiologist in ERAC should cover the areas including management of peri-operative hypotension, prevention and treatment of intra- and post-operative nausea and vomiting, prevention of hypothermia and multi-modal peri-operative pain management, and active pre-operative management of unplanned conversion of labor analgesia to cesarean delivery anesthesia. Although some concerns still remain, ERAC implementation should not be delayed. Regular assessment and process improvement should be imbedded into the protocol. Further high-quality studies are warranted to demonstrate the effectiveness and efficacy of the ERAC protocol.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Liu ZQ,Du WJ,Yao SL

doi

10.1097/CM9.0000000000000644

subject

Has Abstract

pub_date

2020-03-05 00:00:00

pages

590-596

issue

5

eissn

0366-6999

issn

2542-5641

pii

00029330-202003050-00013

journal_volume

133

pub_type

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