4.2 Review

From fast-track to enhanced recovery after surgery in radical cystectomy pathways: A nursing perspective

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Summary: This study found that implementing the ERAS protocol in patients undergoing radical cystectomy can significantly improve gastrointestinal recovery, especially for low-risk patients. However, ERAS did not reduce the length of hospital stay or readmission rates.

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Summary: This paper provides an overview of the multifaceted role of nursing in enhanced recovery after surgery, with specific recommendations for radical cystectomy pathways in advanced bladder cancer surgery. The establishment of nurse-led multi-professional prehabilitation academies is a key trend in surgical pathways. Postoperative and discharge management need to be changed, with highly skilled discharge nurses required to develop comprehensive and safe discharge plans. Limited efforts have been made to evaluate rational principles and goals for rehabilitation after radical cystectomy, highlighting the potential for ERAS nurses to take a leadership role in the future.

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Summary: This paper aims to summarize evidence on nursing interventions for symptoms in RC patients, finding gaps in evidence within the ERAS pathway and most interventions being practice-based. Implementation of the ERAS protocol is recommended, along with the use of validated screening tools, initiation of effective treatment strategies, and definition of treatment outcomes to improve patient care.

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