Evidence map›Paper›PMID 40800711›Full record

ArticleIndian journal of anaesthesia2025

Comparison of the efficacy of Enhanced Recovery After Surgery (ERAS) protocol tailor-made for head and neck free flap oncosurgery with conventional perioperative care: A randomised clinical trial.

Shagun B Shah, Nikhil Bhasin, Ajay K Dewan, Rajiv Chawla, Rajan Arora, Charanjeet Kaur

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Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shagun B ShahDepartment of Anesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0000-0002-9178-7958
Nikhil BhasinDepartment of Anesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0009-0003-9175-4261
Ajay K DewanDepartment of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0000-0003-4294-0175
Rajiv ChawlaDepartment of Anesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0000-0003-2571-8759
Rajan AroraDepartment of Oncoplastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0000-0001-8781-2922
Charanjeet KaurDepartment of Anesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0009-0004-9020-8709

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Technological advances, accumulated experience, and evidence have made free-flap reconstruction [using the anterolateral thigh flap (ALT) and free fibular flap (FF)] for head and neck oncosurgical defects a routine procedure. This study aimed to assess the impact on recovery after head and neck oncosurgery by preoperative optimisation, intraoperative stress minimisation, and postoperative protocolised normalisation. Methods: This randomised study included 60 adult patients undergoing head and neck oncosurgery with ALT/FF reconstruction, allocated to either the Enhanced Recovery After Surgery (ERAS) group (Group E) or the conventional care group (Group C). Our primary outcome measures were the length of hospital stay (LOS) and time to Return to Intended Oncologic Therapy (RIOT). Surgical intensive care unit (SICU) stay, serum lactate, creatinine, and opioid consumption comprised the secondary outcome measures. An independent sample Results: Mean LOS and time to RIOT [9.97 (standard deviation (SD): 2.19) and 34.6 (SD: 9.22) days] were significantly shorter in Group E versus Group C (10.97 (SD: 1.45) and 43.8 (SD: 20.89) days) (mean difference (MD): 1, 95% confidence interval (CI): 0.04, 1.96, Conclusion: At least 90% compliance with the described 15-element ERAS protocol reduces LOS and time to RIOT in head-neck oncosurgery patients with free-flap reconstruction.

Indexed as

Anaesthesiacreatinineenhanced recovery after surgeryfree tissue flapshead and neck surgerylactatelength of hospital stayopioidprehabilitationreadmissionreconstructive surgery

Identifiers

PMID40800711
PMCPMC12338459

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