- •Studies comparing enhanced recovery after caesarean delivery (ERAC) to control group.
- •11 peer-reviewed studies; 36 abstracts; 42 ERAC interventions; 90 outcomes reported.
- •GRADE level evidence was low or very low for all outcomes.
- •Most studies showed benefit and none harm, so ERAC adoption is recommended.
- •High-quality studies needed to gain consensus re optimum interventions and outcomes.
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- Enhanced Recovery After Cesarean (ERAC) – beyond the pain scoresInternational Journal of Obstetric AnesthesiaVol. 43
- PreviewEnhanced recovery protocols aim to optimize patient outcomes by modifying the inflammatory and metabolic changes associated with surgery. Multimodal evidence-based interventions that may reduce the surgical stress response have been organized into a specific care pathway which can shorten the recovery period and reduce peri-operative complications.1 More than 20 years ago, Henrik Kehlet, a pioneer in peri-operative pathophysiology and rehabilitation, initiated the first enhanced recovery protocol for colorectal surgery.