Recomendaciones para un protocolo ERAS de Craneotomía Electiva

Abstract

The implementation of an ERAS protocol, consisting of a set of perioperative measures aimed at improving the postoperative outcome and reducing hospital stay, complication rates and economic costs, has been cost-beneficial in many surgical specialties. In neurosurgery, however, there is currently no widely used ERAS protocol for elective craniotomy. Initial experiences, derivedfrom the implementation of a few ERAS protocols for such intervention are encouraging, demonstrating a decrease in hospital stay and postoperative pain and an increase  in patient satisfaction, without increasing the number of complications. In this article, we evaluate the available evidence regarding the most relevant interventions that constitute the surgical process involved in an elective craniotomy and, from this analysis, we make recommendations that could be used to design an ERAS protocol for a particular setting.