Enhanced Recovery After Surgery (ERAS) protocols are widespread in several fields, particularly general surgery, and attempt to deliver surgical care at a lower cost while also improving patient outcomes. However, few institutions have implemented ERAS protocols in neurosurgery. As such, a survey of neurosurgeons on the current state of ERAS in neurosurgery was conducted to provide insight on scaling the practice nationally. A 15-question survey was designed to assess the implementation of and satisfaction with ERAS protocols at individual institutions. A total of 39 responses were collected from 38 unique institutions. 58.9% (N = 23) reported implementation of neurosurgical ERAS protocols. 52.1% (N = 12) of the responses were neurosurgeons at academic institutions with neurosurgical residency programs. Most neurosurgeons used ERAS protocols for spine cases (N = 23), with only 17.3% (N = 4) employing ERAS protocols for cranial cases. 69.5% (N = 16) of survey participants reported that the design and implementation of ERAS was a multidisciplinary effort across many departments, including neurosurgery, anesthesia, and pharmacy. Decreased costs and intensive care unit (ICU) admission were reported to be unanticipated benefits of ERAS implementation. Unanticipated challenges to implementation of new protocols included difficulties with electronic medical record (EMR) integration, agreement of protocol details amongst stakeholders, uniform implementation of protocols by all neurosurgeons, and lack of adaptability by multidisciplinary staff. Mean department satisfaction with ERAS protocol implementation was 4.00 +/− 0.81 (N = 22) on a 5-point Likert scale.

增强术后恢复 (ERAS) 协议在多个领域广泛使用，尤其是普通外科，并试图以较低的成本提供外科护理，同时改善患者的预后。然而，很少有机构在神经外科中实施 ERAS 协议。因此，对神经外科医生进行了关于神经外科 ERAS 现状的调查，以提供有关在全国范围内扩展实践的见解。一项包含 15 个问题的调查旨在评估 各个机构对 ERAS 协议的实施和满意度。总共从 38 个独特的机构收集了 39 份回复。58.9%  (N = 23) 报告实施了神经外科 ERAS 协议。52.1% (N = 12) 的回答是学术机构的神经外科医生 神经外科住院医师计划。大多数神经外科医生 对脊柱病例使用 ERAS 协议（N = 23），只有 17.3%（N = 4） 对颅骨病例使用 ERAS 协议。69.5% (N = 16) 的调查参与者报告说 ，ERAS的设计和实施是跨 多个部门的多学科努力，包括神经外科、麻醉和药学。 据报道，降低成本和入住重症监护室 (ICU) 是 ERAS 实施的意外好处。实施新协议的意外挑战包括 电子病历 (EMR) 整合的困难、 利益相关者之间协议细节的协议、所有人统一实施协议 神经外科医生，以及多学科工作人员缺乏适应性。 在 5 点李克特量表上，部门对 ERAS 协议实施的平均满意度为 4.00 +/- 0.81 (N = 22)。