Our Summary

This research paper looks at how a program called “Enhanced Recovery After Surgery” (ERAS) can help older patients recover faster and better after major lung cancer surgery. ERAS is a program that uses the best available scientific evidence and involves a team of different health professionals. Nurses play a very important part in making this program work. The study found that using ERAS can greatly improve recovery for elderly patients after lung surgery.

FAQs

  1. What is the “Enhanced Recovery After Surgery” (ERAS) program?
  2. How does the ERAS program aid in the recovery of elderly patients after lung surgery?
  3. What role do nurses play in the implementation of the ERAS program?

Doctor’s Tip

One helpful tip a doctor might tell a patient about lung surgery is to follow the post-operative care instructions carefully, including breathing exercises and physical therapy to help prevent complications and promote healing. It is also important to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare team promptly. Additionally, maintaining a healthy lifestyle with a balanced diet, regular exercise, and avoiding smoking can help support a successful recovery after lung surgery.

Suitable For

Patients who are typically recommended for lung surgery include those with lung cancer, chronic obstructive pulmonary disease (COPD), emphysema, lung infections, and other lung conditions that cannot be managed with non-surgical treatments. Additionally, patients who have a high risk of complications from their lung condition may also be recommended for surgery. Older patients who are in good overall health and have a strong support system are often considered good candidates for lung surgery.

Timeline

Before lung surgery:

  1. Consultation with a doctor to discuss the need for surgery and potential risks and benefits.
  2. Pre-operative tests and screenings to assess overall health and fitness for surgery.
  3. Pre-operative education about the surgery, recovery process, and expectations.
  4. Preparation for surgery, which may include dietary restrictions, medications, and lifestyle changes.

After lung surgery:

  1. Immediate post-operative care in the recovery room to monitor vital signs and pain management.
  2. Transition to a hospital room for continued monitoring and recovery.
  3. Physical therapy and breathing exercises to prevent complications such as pneumonia and blood clots.
  4. Gradual resumption of normal activities and diet as tolerated.
  5. Follow-up appointments with the surgical team to monitor progress and address any concerns.
  6. Long-term follow-up to monitor for recurrence of cancer and assess overall health.

Using the ERAS program:

  1. Pre-operative optimization to improve physical fitness and overall health before surgery.
  2. Multidisciplinary team approach to care, including nurses, physicians, physical therapists, and dietitians.
  3. Enhanced pain management strategies to reduce the need for opioids and facilitate quicker recovery.
  4. Early mobilization and activity to prevent complications and improve recovery.
  5. Patient education and support to promote self-care and participation in the recovery process.
  6. Improved outcomes, including shorter hospital stays, fewer complications, and faster return to normal activities.

What to Ask Your Doctor

  1. What specific type of lung surgery will be performed and why is it necessary?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected recovery time and what can I do to help facilitate a smooth recovery?
  4. Will I need any special accommodations or assistance at home following the surgery?
  5. Are there any specific lifestyle changes or exercises I should adhere to post-surgery?
  6. How will pain management be handled during and after the surgery?
  7. What is the success rate of this type of surgery for patients in my age group?
  8. How experienced is the surgical team in performing this type of surgery?
  9. Are there any alternative treatment options available that I should consider?
  10. How will follow-up care be managed after the surgery?

Reference

Authors: Li Y, Yan C, Li J, Wang Q, Zhang J, Qiang W, Qi D. Journal: Thorac Cancer. 2020 Apr;11(4):1105-1113. doi: 10.1111/1759-7714.13372. Epub 2020 Mar 2. PMID: 32120450