Enhanced Recovery in a Minimally Invasive Thoracic Surgery Program

Schatz C. Enhanced Recovery in a Minimally Invasive Thoracic Surgery Program. AORN J. 2015 Nov;102(5):482-92.

What is already known:

ERAS for thoracic surgery is relatively new with limited amount of research in this area.

What this paper adds:

The author is a nurse at Inova Fairfax Hospital in Virginia and describes how their institution set up their ERAS program. There is a strong emphasis on the nursing perspective, but readers from all disciplines would benefit from reading this review. She discusses the barriers they faced when starting the program and also reports clinical outcomes as well as patient reported outcomes including satisfaction.

Chris Jones, Guildford.


The potential for ERAS in VATS surgery

Holbek BL, Horsleben Petersen R, Kehlet H, Hansen HJ. Fast-track video-assisted thoracoscopic surgery: future challenges. Scand Cardiovasc J. 2016;50(2):78-82.

What is already known:

There is limited evidence for ERAS programmes for minimally invasive thoracic surgery.

What this paper adds:

This group from Denmark, which includes Henrik Kehlet the founding father of ERAS, perform a review of the literature to date and identify areas requiring further research. They focus on the following aspects: patient selection, anaesthesia, analgesia, chest drain and surgical management.

Chris Jones, Guildford.