Enhanced Recovery After Surgery (ERAS) protocols have revolutionized the approach to perioperative care in various surgical specialties. They reduce complications, improve patient outcomes, and shorten hospital lengths of stay. Implementation of ERAS protocols for neurosurgical procedures has been relatively underexplored and underutilized due to the unique challenges and complexities of neurosurgery. This narrative review explores the barriers to, and pioneering strategies of, standardized procedure-specific ERAS protocols, and the importance of multidisciplinary collaboration in neurosurgery and neuroanesthsia, patient-centered approaches, and continuous quality improvement initiatives, to achieve better patient outcomes. It also discusses initiatives to guide future clinical practice, research, and guideline creation, to foster the development of tailored ERAS protocols in neurosurgery.

中文翻译：

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设计神经外科术后加速康复方案：当代叙事回顾。

加速康复外科 (ERAS) 方案彻底改变了各个外科专业的围手术期护理方法。它们可以减少并发症、改善患者治疗效果并缩短住院时间。由于神经外科的独特挑战和复杂性，神经外科手术的 ERAS 协议的实施尚未得到充分探索和利用。这篇叙述性综述探讨了标准化特定程序 ERAS 方案的障碍和开创性策略，以及神经外科和神经麻醉中多学科合作、以患者为中心的方法和持续质量改进举措的重要性，以实现更好的患者治疗效果。它还讨论了指导未来临床实践、研究和指南制定的举措，以促进神经外科定制 ERAS 协议的开发。