Our Summary

This research paper discusses a method used in medical procedures known as the enhanced recovery after surgery (ERAS). It focuses on how this method can be adapted specifically for improving recovery after lung surgery (ELRAS). The article looks back at different steps and measures that can be used during the period around the surgery (perioperative management).

Before surgery, it’s important to focus on educating patients and assessing any high-risk factors they might have, as well as planning how to prevent any complications. During the surgery, the team should aim to minimize invasiveness and optimize the process. After surgery, the focus should be on managing symptoms, with a particular emphasis on managing pain.

FAQs

  1. What is the Enhanced Recovery After Surgery (ERAS) clinic application pathway?
  2. How does minimally invasive surgery and process optimization contribute to enhanced lung recovery after surgery (ELRAS)?
  3. What measures are emphasized in preoperative management for enhanced lung recovery after surgery (ELRAS)?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lung surgery is to follow the recommended preoperative education and assessment of risk factors, as well as postoperative symptom management such as pain control. Additionally, the doctor may suggest considering minimally invasive surgery options for faster recovery. It is important to communicate openly with your healthcare team and follow their guidance for the best possible outcome.愛惠康复外科（enhanced recovery after surgery, ERAS）方案临床应用的多样性，取决于病种和团队而不同。肺术后都有哪些证据有利于加速肺康复（enhanced lung recovery after surgery, ELRAS）的临床实践呢？本文主要从围手术期可采用的措施及方法进行回顾性分析：术前强调教育及高危因素的评估及预防，术中微创手术及流程优化，术后关注以疼痛为主的症状管理。

Suitable For

Patients who are typically recommended for lung surgery include those with lung cancer, lung nodules, severe infections, chronic obstructive pulmonary disease (COPD), emphysema, pulmonary fibrosis, or other serious lung conditions that have not responded well to other treatments. Additionally, patients who have experienced a collapsed lung or have a tumor pressing on their airway may also be candidates for lung surgery. It is important for patients to be evaluated by a medical team to determine if they are suitable candidates for lung surgery and to discuss the potential risks and benefits of the procedure.

Timeline

Before lung surgery, a patient will typically undergo a series of preoperative assessments, including imaging tests, blood work, and consultations with various healthcare professionals. They may also receive education on the surgery, postoperative care, and potential complications. The patient will likely be advised to stop smoking and make lifestyle changes to improve their overall health.

During the surgery, the patient will be placed under anesthesia and the surgeon will perform the necessary procedure, whether it be a lobectomy, pneumonectomy, or other type of lung surgery. Minimally invasive techniques may be used to reduce recovery time and minimize scarring.

After the surgery, the patient will be closely monitored in the post-anesthesia care unit (PACU) before being transferred to a regular hospital room. Pain management, breathing exercises, and early mobilization may be implemented to aid in recovery. The patient will gradually progress to eating solid foods, walking, and eventually being discharged from the hospital.

After discharge, the patient will continue to follow up with their healthcare team for monitoring, rehabilitation, and any necessary postoperative care. It may take several weeks to months for the patient to fully recover and return to their normal activities.

What to Ask Your Doctor

Some questions a patient should ask their doctor about lung surgery may include:

  1. What are the potential risks and complications associated with this type of surgery?
  2. How long is the recovery process expected to take?
  3. Will I need any special post-operative care or support?
  4. What is the success rate of this type of surgery for my specific condition?
  5. Are there any alternative treatment options available?
  6. How experienced is the surgical team in performing this type of surgery?
  7. What can I do to prepare for the surgery and improve my chances of a successful outcome?
  8. Will I need any follow-up appointments or tests after the surgery?
  9. How will my pain be managed during and after the surgery?
  10. What lifestyle changes may be necessary after the surgery to promote healing and recovery?

Reference

Authors: Che G. Journal: Zhongguo Fei Ai Za Zhi. 2017 Jun 20;20(6):371-375. doi: 10.3779/j.issn.1009-3419.2017.06.01. PMID: 28641693