A narrative review examined Enhanced Recovery After Surgery (ERAS) protocols for patients undergoing orthognathic surgery. These protocols include multimodal pain management, hemorrhage control, nausea prevention, airway care, steroid use, and fluid management. The review looked at outcomes like opioid use, hospital stay length, and overall recovery. Results suggest ERAS can reduce opioid consumption, shorten hospital stays, and improve recovery. No safety concerns or adverse events were reported in this review. However, the study has important limitations. There is no single standardized ERAS protocol universally adopted for this surgery yet. The authors note that further research and a unified protocol with specific anesthesia guidelines are needed. This review provides insights into applying ERAS in orthognathic surgery and offers guidance for clinical practice. Readers should understand that while these protocols show promise, more work is required to standardize their use. This information helps clinicians consider options for improving patient outcomes in this specific surgical area.
ERAS protocols may reduce opioid use and shorten stays for patients undergoing orthognathic surgeryERAS protocols show promise for orthognathic surgery recovery
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Key Takeaway
Consider ERAS protocols for orthognathic surgery to potentially reduce opioid use and shorten stays.
This narrative review evaluates the application of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing orthognathic surgery. The scope covers multimodal analgesia, intraoperative hemorrhage control, prevention of postoperative nausea and vomiting, airway management, glucocorticoid application, and perioperative fluid management. The authors synthesize findings indicating that ERAS can reduce opioid consumption, shorten hospital stays, and improve overall recovery. Specific effect sizes or absolute numbers were not reported in this source. The review does not provide data on adverse events or serious adverse events. Safety and tolerability details were not reported. The review provides insights into the application of ERAS in orthognathic surgery and offers guidance for clinical practice. It highlights that further research and the development of a unified protocol with standardized anesthesia management specifications are needed. The authors caution that no standardized ERAS protocol has been universally adopted for orthognathic surgery. This narrative review provides insights into the application of ERAS in orthognathic surgery and offers guidance for clinical practice.
What this means for you:
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View Original Abstract ↓
This review aims to analyze the evolution and implementation of Enhanced Recovery After Surgery (ERAS) protocols in orthognathic surgery, particularly focusing on anesthesia management including core components: multimodal analgesia, intraoperative hemorrhage control, postoperative nausea and vomiting (PONV) prevention, airway management, glucocorticoid application, and perioperative fluid management. The goal is to identify key strategies for improving patient recovery through evidence-based practices.
A narrative review of existing literature was conducted, analyzing studies published on ERAS and anesthesia management in orthognathic surgery from 1997 to the present.
This review highlights the progress of ERAS protocols, which optimize perioperative care by focusing on multimodal anesthesia management, controlled hypotension, and strategies to alleviate pain, nausea, and inflammation via the aforementioned anesthesia-specific interventions. It is evident that ERAS can reduce opioid consumption, shorten hospital stays, and improve overall recovery. However, no standardized ERAS protocol has been universally adopted for orthognathic surgery.
ERAS protocols have shown promise in improving patient outcomes in orthognathic surgery, but further research and the development of a unified protocol with standardized anesthesia management specifications are needed. Multidisciplinary collaboration remains crucial to effectively implement ERAS practices.
This review provides insights into the application of ERAS in orthognathic surgery and offers guidance for clinical practice, particularly regarding the optimization of anesthesia management with evidence-based anesthesia-specific ERAS interventions to promote faster recovery and minimize complications.
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