Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  29 (2025)
Volume  28 (2024)
Volume  27 (2023)
Volume  26 (2022)
Volume  25 (2021)
Volume  24 (2020)
Volume  23 (2019)
Volume  22 (2018)
Volume  21 (2017)
Volume  20 (2016)
Volume  19 (2015)
Volume  18 (2014)
Volume  17 (2013)
Volume  16 (2012)
Volume  15 (2011)
Volume  14 (2010)
Volume  13 (2009)
Volume  12 (2008)
Volume  11 (2007)
Volume  10 (2006)
Volume  9 (2005)
Volume  8 (2004)
Related articles

VOLUME 29 , ISSUE 1 ( January, 2025 ) > List of Articles

Original Article

Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery

Hezil Reema Barboza, Fatima Dsilva, Amar Sunil Lobo, MS Moosabba, Balakrishna Gurmitkal

Keywords : Abdominal surgery, Enhanced surgical recovery nursing program, Patients, Postoperative outcomes

Citation Information : Barboza HR, Dsilva F, Lobo AS, Moosabba M, Gurmitkal B. Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery. Indian J Crit Care Med 2025; 29 (1):21-26.

DOI: 10.5005/jp-journals-10071-24870

License: CC BY-NC 4.0

Published Online: 30-12-2024

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background: Enhanced recovery is currently considered to be the treatment of various elective major surgeries. Enhanced recovery after surgery (ERAS) includes applying various perioperative measures, strategies, and active participation of patients in the recovery process. Materials and methods: A quasi-experimental study was conducted in the surgical units of a hospital in Karnataka, India. Data were collected from patients undergoing elective abdominal surgery (n = 142). Psychological (anxiety) and physiological outcomes (vital capacity, pulse, respiration, and blood pressure) were assessed in experimental and treatment-as-usual groups on preoperative day 1 (2 days before surgery) and preoperative day 2 (1 day before surgery). Results: The results showed a significant decrease in the state-anxiety scores in the experimental group than in the treatment-as-usual group (p < 0.05). Physiological outcomes such as pain, pulse, respiration, and blood pressure showed a significant decrease in the experimental group than the treatment-as-usual group (p < 0.05). Vital capacity was significantly increased in the experimental group and decreased in the treatment-as-usual group in the postoperative days (p < 0.05). A significant decrease in the length of postoperative stay was seen in the experimental group than in the treatment-as-usual group (p = 0.001). In the experimental group, there were less postoperative complications than in the treatment-as-usual group. Conclusion: Enhanced recovery is considered to be the treatment for various elective major surgeries. It is an essential responsibility of healthcare professionals to improve postoperative outcomes by reducing complications and length of postoperative hospital stay.

PDF Share
  1. Ljungqvist O, Young-Fadok T, Demartines N. The history of enhanced recovery after surgery and the ERAS Society. J Laparoendosc Adv Surg Techn 2017;27(9):860–862. DOI: 10.1089/lap.2017.0350.
  2. Leger R, Livelsberger J, Sinha A. Enhanced recovery after surgery (ERAS) in clinical practice. Anaesthesia, Pain Intensive Care 2020;24(3):335–435. DOI: 10.35975/apic.v24i3.1287.
  3. Peden CJ, Aggarwal G, Aitken RJ, Anderson ID, Bang Foss N, Cooper Z, et al. Guidelines for perioperative care for emergency laparotomy enhanced recovery after surgery (ERAS) Society recommendations: Part 1—preoperative: diagnosis, rapid assessment and optimization. World J Surg 2021;45(5):1272–1290. DOI: 10.1007/s00268-021-05994-9.
  4. Yesilyurt DS, Findik ÜY. Effect of preoperative video information on anxiety and satisfaction in patients undergoing abdominal surgery. Comput Inform Nurs 2019;37(8):430–436. DOI: 10.1097/CIN.0000000000000505.
  5. Agarwal V, Muthuchellappan R, Shah BA, Rane PP, Kulkarni AP. Postoperative outcomes following elective surgery in India. Indian J. Crit. Care Med 2021;25(5):528–534. DOI: 10.5005/jp-journals-10071-23807.
  6. Jones C, Kelliher L. Enhanced recovery after surgery: Past, present and future. Dig Med Res 2019;2:19–21. DOI: 10.21037/dmr.2019.08.03.
  7. Ripollés-Melchor J, Ramírez-Rodríguez JM, Casans-Francés R, Aldecoa C, Abad-Motos A, Logroño-Egea, et al. Association between use of enhanced recovery after surgery protocol and postoperative complications in colorectal surgery: The postoperative outcomes within enhanced recovery after surgery protocol (POWER) study. JAMA surg 2019;154(8):725–736. DOI: 10.1001/jamasurg.2019.0995.
  8. Svensson-Raskh A, Alam R, Pal A, Montanez J, Law S, Pecorelli N, et al. Understanding the meaning of recovery to patients undergoing abdominal surgery. JAMA Surg 2021;156(8):758–765. DOI: 10.1001/jamasurg.2021.1557.
  9. Dhaigude BD, Shree S, Shah P, Francis M, Patel K, Metta V. Post-operative wound complications following emergency and elective abdominal surgeries. Int Surg J 2018;5(1):232–237. DOI: 10.18203/2349-2902.isj20175901.
  10. Mubita WM, Richardson C, Briggs M. Patient satisfaction with pain relief following major abdominal surgery is influenced by good communication, pain relief and empathic caring: A qualitative interview study. Br J Pain 2020;14(1):14–22. DOI: 10.1177/2049463719854471.
  11. Xu Y, Wang H, Yang M. Preoperative nursing visit reduces preoperative anxiety and postoperative complications in patients with laparoscopic cholecystectomy: A randomized clinical trial protocol. Medicine 2020;99(38):e22314. DOI: 10.1097/MD.0000000000022314.
  12. Gümüs K. The effects of preoperative and postoperative anxiety on the quality of recovery in patients undergoing abdominal surgery. J Perianesth Nurs 2021;36(2):174–178. DOI: 10.1016/j.jopan.2020.08.016.
  13. Elkalashy RA, Masry SE. The effect of preoperative educational intervention on preoperative anxiety and postoperative outcomes in patients undergoing open cholecystectomy. IOSR-JNHS 2018;7(05):78–87. DOI: 10.9790/1959-0705097887.
  14. Ertuğ N, Ulusoylu Ö, Bal A, Özgür H. Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study. NHS 2017;19(2):250–256. DOI: 10.1111/nhs.12339.
  15. Yadav N, Singhal S, Bharti D. Effect of music on preoperative anxiety in patients undergoing laparoscopic cholecystectomy. Bali J Anesthesiol 2020;4(3):90–94. DOI: 10.4103/BJOA.BJOA_19_20.
  16. Tan DJA, Polascik BA, Kee HM, Hui Lee AC, Sultana R, Kwan M, et al. The effect of perioperative music listening on patient satisfaction, anxiety, and depression: A quasi experimental Study. Anesthesiol Res Pract 2020;2020:3761398. DOI: 10.1155/2020/3761398.
  17. Ni CH, Tsai WH, Lee LM, Kao CC, Chen YC. Minimising preoperative anxiety with music for day surgery patients – A randomised clinical trial. J Clin Nur 2012;21(5–6):620–625. DOI: 10.1111/j.1365-2702.2010.03466.x.
  18. Alaparthi GK, Augustine AJ, Anand R, Mahale A. Comparison of diaphragmatic breathing exercise, volume and flow incentive spirometry, on diaphragm excursion and pulmonary function in patients undergoing laparoscopic surgery: A randomized controlled trial. Minim Invasive Surg 2016;2016:1967532. DOI: 10.1155/2016/1967532.
  19. Vanamail PV, Balakrishnan K, Prahlad S, Chockalingam P, Dash R, Soundararajan DK. Ultrasonographic assessment of diaphragmatic inspiratory amplitude and its association with postoperative pulmonary complications in upper abdominal surgery: A prospective, longitudinal, observational study. Indian J Crit Care Med 2021;25(9):1031–1039. DOI: 10.5005/jp-journals-10071-23962.
  20. Thomas M, Joshi R, Bhandare M, Agarwal V. Complications after supramajor gastrointestinal surgery: role of enhanced recovery after surgery. Indian J Crit Care Med 2020;24(Suppl 4):S205–S210. DOI: 10.5005/jp-journals-10071-23615.
  21. Abdikarim I, Cao XY, Li SZ, Zhao YQ, Taupyk Y, Wang Q. Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas. World J Gastroenterol 2015;21(47):13339–13344. DOI: 10.3748/wjg.v21.i47.13339.
  22. Mambou CG, Temgoua MN, Esiene A, Nana BO, Noubiap JJ, Sobngwi E. Impact of perioperative nutritional status on the outcome of abdominal surgery in a sub-Saharan Africa setting. BMC Res Notes 2017;10(1):484. DOI: 10.1186/s13104-017-2765-8.
  23. Charoenkwan K, Matovinovic E. Early versus delayed oral fluids and food for reducing complications after major abdominal gynaecologic surgery. Cochrane Database Syst Rev 2014;2014(12):CD004508. DOI: 10.1002/14651858.CD004508.pub4.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.