Protokol ERAS pada Operasi Toraks dan Paru

Oleh :

dr. Andrian Yadikusumo, Sp.An

Protokol ERAS atau Enhanced Recovery After Surgery semakin banyak digunakan pada pasien yang menjalani operasi toraks dan paru. Beberapa studi menunjukkan bahwa protokol ERAS efektif dalam mengurangi lama tinggal di rumah sakit dan komplikasi pascaoperasi. Manfaat ini dicapai dengan mengurangi respons stres yang terkait dengan operasi, sehingga mempercepat pemulihan. Beberapa elemen protokol ERAS adalah penggunaan bedah minimal invasif, mobilisasi dini, dan waktu puasa yang lebih singkat.[1-3]

Informasi Preadmisi, Edukasi, dan Konseling

Protokol ERAS dimulai dengan informasi preadmisi, edukasi, dan konseling. Tujuannya untuk menyamakan persepsi terhadap rencana tindakan dan anestesi yang akan dilakukan dan ekspektasi hasil operasi yang akan didapat. Tindakan ini telah dilaporkan berdampak pada skor nyeri pascaoperasi, lama tinggal di rumah sakit, ketakutan, dan kelelahan pascaoperari.[4,5]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

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2. Draeger TB, Gibson VR, Fernandes G, Andaz SK. Enhanced Recovery After Thoracic Surgery (ERATS). Heart Lung Circ. 2021 Aug;30(8):1251-1255. doi: 10.1016/j.hlc.2021.01.014. Epub 2021 Mar 13. PMID: 33726996.
3. Rifai AS, et al. Pre-Operative Enhanced Recovery After Surgery (ERAS) Protocol Compliance Towards Major Surgery Patients at Dr. Soetomo General Hospital, Surabaya. Biomol Heal Sci J, 2020. vol. 3, no. 1, p. 28, 2020, doi: 10.20473/bhsj.v3i1.19064.
4. Batchelor TJP, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg. 2019 Jan 1;55(1):91-115. doi: 10.1093/ejcts/ezy301. PMID: 30304509.
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