ArticleJournal of cardiothoracic surgery2020
National survey of enhanced recovery after thoracic surgery practice in the United Kingdom and Ireland.
Article in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The analgesic efficacy of erector spinae plane block versus paravertebral block in thoracic surgeries: a meta-analysis.Frontiers in medicine · 2023Pooled it
- Effect of an intravenous acetaminophen/ibuprofen fixed-dose combination on postoperative opioid consumption and pain after video-assisted thoracic surgery: a double-blind randomized controlled trial.Surgical endoscopy · 2024Trial
- Feasibility study of a randomised controlled trial of preoperative and postoperative nutritional supplementation in major lung surgery.BMJ open · 2022Trial
- Temporal Trends in Outcomes and Predictors of Length of Stay following Lung Cancer Resection over 10 Years with Enhanced Recovery After Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Implications of modernized chest tube management after anatomic lung resection as an aspect of enhanced recovery after surgery (ERAS).Journal of thoracic disease · 2025Article
- Current state and future education implication of enhanced recovery after surgery (ERAS) among Chinese anesthesiologists: national repeated cross-sectional surveys from 2019 to 2023.BMC medical education · 2025Article
- Analysis of pulmonary complications and predicted postoperative pulmonary function in oncologic lung resections.Journal of thoracic disease · 2024Article
- Enhanced Recovery after Surgery (ERAS) Implementation and Barriers among Healthcare Providers in France: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Cost-consequence analysis of the enhanced recovery after surgery protocol in major lung resection with minimally invasive technique (VATS).Frontiers in surgery · 2024Article
- Thinking outside the "Enhanced Recovery After Surgery" box: would a more progressive, patient-tailored approach in chest tube management be next?Journal of thoracic disease · 2023Article
- [Current approaches to anesthetic management in thoracic surgery-An evaluation from the German Thoracic Registry].Die Anaesthesiologie · 2022Article
- Many steps can be taken to enhance recovery after thoracic surgery.Journal of cardiothoracic surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence that Enhanced Recovery After Thoracic Surgery (ERAS) improves clinical outcomes is growing. Following the recent publications of the international ERAS guidelines in Thoracic surgery, the aim of this audit was to capture variation and perceived difficulties to ERAS implementation, thus helping its development at a national level.
methodsWe designed an anonymous online survey and distributed it via email to all 36 centres that perform lung lobectomy surgery in the UK and Ireland. It included 38 closed, open and multiple-choice questions on the core elements of ERAS and took an average of 10 min to complete.
resultsEighty-two healthcare professionals from 34 out of 36 centres completed the survey; majority were completed by consultant thoracic surgeons (57%). Smoking cessation support varied and only 37% of individuals implemented the recommended period for fluid fasting; 59% screen patients for malnutrition and 60% do not give preoperative carbohydrate loading. The compliance with nerve sparing techniques when a thoracotomy is performed was poor (22%). 66% of respondents apply suction on intercostal drains and although 91% refer all lobectomies for physiotherapeutic assessment, the physiotherapy adjuncts varied across centres. Perceived barriers to implementation were staffing levels, lack of teamwork/consistency, limited resources over weekend and the reduced access to smoking cessation services.
conclusionCentres across the UK are working to develop the ERAS pathway. This survey aids this process by providing insight into "real life" ERAS, increasing exposure of staff to the ESTS- ERAS recommendations and identifying barriers to implementation.
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