{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:38:42Z","timestamp":1786649922239,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Enhanced recovery after surgery (ERAS) is increasingly adopted in neuroanaesthesia, yet its application in endoscopic skull-base surgery remains unestablished. This prospective randomised study evaluated the effectiveness of ERAS in endoscopic skull-base surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Sixty participants undergoing endoscopic skull-base surgery were randomised into either the ERAS group or the conventional anaesthetic technique (CAT) group. The primary objective was to compare the quality of post-operative recovery using the Quality of Recovery (QoR)-15 scoring system between the two groups at 24 hours post-operatively. The secondary objectives included comparing the days to ambulation, hospital stay, pain intensity, and patient satisfaction scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no significant difference in the mean QoR15 (\u00b1 standard deviation) score between the groups [ERAS vs CAT, 98.40 \u00b1 4.45 vs 96.56 \u00b1 4.40, 95% confidence interval (-.45, 4.123),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.114]. The days to ambulation showed a significant difference between ERAS and CAT (2.30 \u00b1 0.535 vs 3.30 \u00b1 0.915;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but the duration of hospital stay was not significantly different (ERAS vs CAT, 5.20 \u00b1 0.761 vs 5.47 \u00b1 0.86; mean difference = -0.26;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.209). Pain scores were lower in the ERAS group from 1 to 12 hours after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but no significant difference was observed from 18 to 24 hours. The ERAS group had lower patient satisfaction scores (1.63 \u00b1 0.490 vs 2.00 \u00b1 0.694;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.022), with lower scores indicating greater satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ERAS offers early ambulation, reduced immediate post-operative pain, and higher patient satisfaction compared to CAT in endoscopic skull-base surgeries. However, it shows no difference in post-operative recovery and overall hospital stay compared to CAT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_1692_25","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T15:00:22Z","timestamp":1776524422000},"page":"554-561","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of enhanced recovery after surgery and conventional anaesthesia techniques on post-operative recovery in patients undergoing endoscopic endonasal skull base surgeries: A prospective randomised study"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3234-1638","authenticated-orcid":false,"given":"Shelly","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1245-2536","authenticated-orcid":false,"given":"Manbir","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4645-6911","authenticated-orcid":false,"given":"Jaskaran S.","family":"Gosal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5082-7151","authenticated-orcid":false,"given":"Pradeep K.","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4337-8831","authenticated-orcid":false,"given":"Priyanka","family":"Sethi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8990-3235","authenticated-orcid":false,"given":"Surjit","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"R1-20260418","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.wneu.2016.09.120","article-title":"Endoscopic versus microscopic transsphenoidal approach for pituitary adenomas: Comparison of outcomes during the transition of methods of a single surgeon","volume":"97","author":"Eseonu","year":"2017","journal-title":"World Neurosurg"},{"key":"R2-20260418","doi-asserted-by":"crossref","first-page":"110886","DOI":"10.1016\/j.jocn.2024.110886","article-title":"Endoscopic endonasal transpterygoid trans lacero-cavernous resection of Knosp 4 functioning pituitary macroadenoma","volume":"129","author":"Gosal","year":"2024","journal-title":"J Clin Neurosci"},{"key":"R3-20260418","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12883-021-02150-7","article-title":"Enhanced recovery after surgery - 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