Na Hyo-Seok
Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
Anesth Pain Med (Seoul). 2025 Apr;20(2):101-108. doi: 10.17085/apm.25211. Epub 2025 Apr 30.
Enhanced recovery after surgery (ERAS) is an innovative perioperative management approach designed to shorten the recovery time, improve patient safety and quality of care, and enhance overall satisfaction. Successful implementation of ERAS requires active collaboration between healthcare providers and patients to facilitate a timely return to daily activities. The ERAS protocol, originally developed for colorectal surgery, has gradually been expanded and adapted to other major surgeries, and more recently, to Cesarean deliveries. Enhanced recovery after Cesarean delivery (ERAC) presents unique challenges due to its distinct patient population, comprising relatively young women. Its dual focus on maternal recovery and neonatal well-being sets it apart from conventional ERAS protocols. Several components of the ERAC protocol have been adapted from the ERAS recommendations; however, supporting evidence remains limited. This review examines the current ERAC protocol and considers the types of research needed to establish an evidence-based ERAC protocol in the future.
术后加速康复（ERAS）是一种创新的围手术期管理方法，旨在缩短康复时间、提高患者安全性和护理质量，并提升总体满意度。成功实施ERAS需要医疗服务提供者与患者积极协作，以促进及时恢复日常活动。ERAS方案最初是为结直肠手术制定的，现已逐渐扩展并适用于其他大型手术，最近还适用于剖宫产。剖宫产术后加速康复（ERAC）由于其独特的患者群体（包括相对年轻的女性）而面临独特的挑战。它对产妇康复和新生儿健康的双重关注使其有别于传统的ERAS方案。ERAC方案的几个组成部分是根据ERAS建议改编的；然而，支持证据仍然有限。本综述探讨了当前的ERAC方案，并考虑了未来建立基于证据的ERAC方案所需的研究类型。
