The influence of ERAS recommendation implementation in surgical treatment of spontaneous pneumothorax in women

Spontaneous pneumothorax sometimes is life threatening condition which accounts from 1.2 to 15.4 cases per 100,000 of the women per year. Aim: to analysis of results after implementation of ERAS protocols in treatment of spontaneous pneumothorax in women of different age groups for optimizing the tactic of treatment Materials and methods. Prospective study was performed on 80 patients, age 22-62 years with spontaneous pneumothorax, were divided on 2 groups. In control group (n=40) standard perioperative treatment was performed, in main group (n=40) uniportal non-intubated video-assisted thoracic surgery with multimodal analgesia techniques and implemented ERAS components by our team. The analysis of effectiveness of different components of ERAS in preoperative, intraoperative, postoperative phases were compared in two groups. Statistic analysis was performed with «SPSS 21» program. Results. It was established that time to decision for surgical treatment, surgery during first 48 hours from admission, not applying premedication, surgery during mensis, prophylaxis of postoperative nausea and vomiting, applying of BIS-monitoring, warming patient through the whole perioperative time, postoperative pain, time for first meal after surgery, early mobilization, number of postoperative chest X-rays before chest drain removal were statistically significant. Conclusions. Proposed and implemented ERAS recommendations in treatment of spontaneous pneumothorax in women reduced the time to discharge criteria by 3.47 days and the length of hospital stay by 3.42 days. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.