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Enhanced recovery after surgery decreases pain in thoracic surgery

Abdessalem Hentati, Ahmed Ben Ayed, Jihen Jdidi, Zied Chaari, Walid Abid, Abderrahmen Ammar, Ghassen Ben Hlima, Imed Frikha
European Respiratory Journal 2021 58: PA3404; DOI: 10.1183/13993003.congress-2021.PA3404
Abdessalem Hentati
1Habib Bourguiba university hospital, Sfax, Tunisia
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  • For correspondence: slim_hentati1987@hotmail.fr
Ahmed Ben Ayed
1Habib Bourguiba university hospital, Sfax, Tunisia
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Jihen Jdidi
1Habib Bourguiba university hospital, Sfax, Tunisia
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Zied Chaari
1Habib Bourguiba university hospital, Sfax, Tunisia
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Walid Abid
1Habib Bourguiba university hospital, Sfax, Tunisia
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Abderrahmen Ammar
1Habib Bourguiba university hospital, Sfax, Tunisia
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Ghassen Ben Hlima
1Habib Bourguiba university hospital, Sfax, Tunisia
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Imed Frikha
1Habib Bourguiba university hospital, Sfax, Tunisia
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Abstract

Objectives: Enhanced recovery after surgery (ERAS) is the application of simple measures in the postoperative care with the aim of reducing morbidity and mortality, and accelerating rehabilitation and hospital discharge. The evidence of ERAS benefits in thoracic surgery remains limited due to the selectivity of the type of surgical resection and thoracic pathology in published studies. This study was designed to evaluate the effectiveness of postoperative care using the ERAS protocol compared to traditional one in thoracic surgery.

Materiel and Methods: This is a prospective randomized controlled study, conducted between December 2015 and August 2017 at the department of Thoracic and Cardiovascular Surgery of the Habib Bourguiba University Hospital in Sfax, Tunisia.

Results: One hundred patients undergoing thoracic surgery were randomly allocated to ERAS group or control group. The following complication rates were lower in the ERAS group: Lack of re-expansion (14.63% vs 16.10%: p=0.72), pleural effusion (0% vs 10.86%, p=0.05) and prolonged air leak (17.07% vs 30.43%, p=0.14). The level of pain decreased significantly in the ERAS group from postoperative H3 (p=0.006). This difference was significant at H6 (p=0.001), H24 (p=0.05), H48 (p=0.01), discharge (p=0.002) and after 15 days (p=0.01) with a decreased analgesic consumption. The length of hospital stay was shorter in the ERAS group (median 6 days vs 7 days, p= 0.17).

Conclusion: The ERAS protocol can reduce post operative pain. This study provides an ERAS protocol, applicable to any thoracic surgery pathology, approach or type of resection.

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Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3404.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Enhanced recovery after surgery decreases pain in thoracic surgery
Abdessalem Hentati, Ahmed Ben Ayed, Jihen Jdidi, Zied Chaari, Walid Abid, Abderrahmen Ammar, Ghassen Ben Hlima, Imed Frikha
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3404; DOI: 10.1183/13993003.congress-2021.PA3404

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Enhanced recovery after surgery decreases pain in thoracic surgery
Abdessalem Hentati, Ahmed Ben Ayed, Jihen Jdidi, Zied Chaari, Walid Abid, Abderrahmen Ammar, Ghassen Ben Hlima, Imed Frikha
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3404; DOI: 10.1183/13993003.congress-2021.PA3404
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