Evidence-based enhanced recovery after surgery (ERAS) programs aim to improve patient outcomes and shorten hospital stays. The objective of this study is to describe the development, implementation, and evolution of an ERAS protocol to optimize the perioperative management for patients undergoing endoscopic skull base surgery for pituitary tumors. A systematic review of the literature was performed, best practices were discussed with stakeholders, and institutional guidelines were established and implemented. Key performance indicators (KPI) were measured and patient-reported outcome surveys were collected. The ERAS protocol was introduced successfully at our institution. We describe the process of initiation of the program and the perioperative management of our patients. We demonstrated the feasibility of integration of ERAS protocols for pituitary tumors with multidisciplinary engagement, with a particular emphasis on the use of data informatics and metrics to monitor outcomes. We expect that this approach will translate to improved quality of care for these often-complex patients.

Enhanced recovery after surgery;Endoscopic skull base surgery;Pituitary surgery;Outcomes improvement

Flukes Stephanie;Laufer Ilya;Cracchiolo Jennifer;Geer Eliza;Lin Andrew L.;Brallier Jess;Tsui Van;Afonso Anoushka;Tabar Viviane;Cohen Marc A.

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA;Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA;Multidisciplinary Pituitary and Skull Base Tumor Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA;Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA;Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

世界耳鼻咽喉头颈外科杂志（英文）

[1]Flukes Stephanie;Laufer Ilya;Cracchiolo Jennifer;Geer Eliza;Lin Andrew L.;Brallier Jess;Tsui Van;Afonso Anoushka;Tabar Viviane;Cohen Marc A.-.Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery)[J].世界耳鼻咽喉头颈外科杂志（英文）,2022(04):330-338

Integration,enhanced,recovery,after,surgery,patients,undergoing,pituitary,Evidence,ERAS,programs,aim,outcomes,shorten,hospital,stays,objective,this,study,describe,development,implementation,evolution,optimize,perioperative,management,endoscopic,skull,tumors,systematic,review,literature,was,performed,best,practices,were,discussed,stakeholders,institutional,guidelines,established,implemented,Key,performance,indicators,KPI,measured,reported,surveys,collected,introduced,successfully,our,We,process,initiation,demonstrated,feasibility,integration,protocols,multidisciplinary,engagement,particular,emphasis,use,data,informatics,metrics,monitor,expect,that,approach,will,translate,improved,quality,care,these,often,complex,Enhanced,Endoscopic,Pituitary,Outcomes,improvement

0.57662