Abstract. Enhanced recovery after surgery (ERAS) has emerged as a paradigm-shifting approach in perioperative care, aimed at optimizing patient outcomes, The enhanced recovery after surgery (ERAS) pathway is a multimodal program of perioperative care designed to optimize preoperative patient functional status, reduce postoperative morbidity and enhance patient functional recovery ().These goals are accomplished by the introduction of several pre-, peri- and post-operative individual Prehabilitation interventions that include exercise, nutrition, and psychosocial components can be applied before surgery to strengthen physiological reserve and enhance functional capacity, which, in turn, supports recovery through attaining surgical resilience. Prehabilitation complements Enhanced Recovery After Surgery (ERAS) care to Background: Enhanced Recovery After Surgery (ERAS) protocol are well established in many surgical disciplines, leading to decrease in morbidity and length of hospital stay. These multi-modal protocols have been also introduced to oesophageal cancer surgery. This review aimed to evaluate current literature on ERAS in A growing body of evidence suggests that the implementation of an enhanced recovery after surgery (ERAS) clinical pathway can accelerate recovery and reduce length of stay through the use of a multimodal program that includes guidelines for optimal pain relief, stress reduction, early nutrition, and early mobilization. The article Enhanced recovery after surgery is a multidisciplinary, evidence-based, standardized program to improve the perioperative care and recovery of surgical patients with both clinical (reductions in Enhanced Recovery after Surgery (ERAS) protocols are increasingly applied in the surgical setting but are not yet widespread. This narrative review focused on areas of perioperative nutrition that are perceived as controversial or are lacking in agreement. A search for available literature was conducted on 1 March and relevant high-quality
Enhanced Recovery after Surgery: History, Key Advancements and ...
Enhanced recovery after surgery (ERAS), also referred to as an enhanced recovery program, fast-track rehabilitation, multimodal management, or similar descriptors, is a multidisciplinary approach to perioperative care. A protocol of components related to preadmission, preoperative, intraoperative, and postoperative care is implemented with Enhanced Recovery After Surgery (ERAS) protocols are multidisciplinary recommendations for perioperative care aimed at improving recovery through research, In the era of modern surgery, it is vitally important to provide high-quality, resource-conscious, patient-centred care. Enhanced recovery after surgery (ERAS) is a concept developed to meet these goals. Enhanced recovery after surgery utilises a patient-centred, multidisciplinary approach through the perioperative period. Key ERAS concepts Enhanced recovery pathways reduce length of stay (LOS) by an average of days and total cost by an average of $ in comparison with conventional Purpose of Review Many surgical subspecialties have developed enhanced recovery after surgery (ERAS) protocols that focus on multimodal analgesia to limit opioid use during a hospital stay and improve patient recovery. Unfortunately, ERAS protocols do not extend to post-discharge patient care, and opioids continue to be over prescribed. For full details see the review protocol in appendix A. Table 1: PICO characteristics of review question Population Adults 18 years and over having major surgery. Intervention The term ‘enhanced recovery after surgery’ puts more emphasis on a holistic approach to recovery with a broader focus on outcomes that are important for the patient. An enhanced recovery protocol (ERP) is the implementation strategy used to institute an ERAS guideline. The goal of ERP is to ensure that an evidence-based and Value in health care is defined as the best outcome that matters to the patient at the lowest cost. Therefore, a valuable intervention is one that either results in better outcomes at the same cost, the same outcomes at lower cost, or in the best-case scenario, better outcomes at lower cost. Enhance
Enhanced Recovery After Surgery: Exploring the Advances and …
Background: Geriatric surgery is rising and projected to continue at a greater rate. There is already concern about the poor outcomes for the emergency surgery in elderly. How to manage the available resources to improve outcomes in this group of patients is an important object of debate Enhanced recovery after surgery: a narrative review on patient blood management recommendations. Minerva Anestesiol. Jun doi: /S For full details see the review protocol in appendix A. Table 1: PICO characteristics of review question Population Adults 18 years and over having major surgery. Intervention Enhanced recovery programmes (ERP)/ERAS (enhanced recovery after surgery) Comparison No enhanced recovery programme (standard care) Outcomes Critical The international Enhanced Recovery After Surgery (ERAS) guidelines for emergency laparotomy are under development for publication and will provide detailed guidance on immediate preoperative management, intraoperative surgical and anesthetic management, and postoperative care. Many of the patients presenting for emergency Abstract. This is a short overview of the principles of a novel development in surgery called enhanced recovery after surgery (ERAS) programs. This is an evidence-based approach to perioperative care that has shown to reduce complications and recovery time by 30–50%. The main mechanism is reduction of the stress reactions to the operation Background Recent studies have demonstrated that accelerated enhanced recovery after colorectal surgery is feasible for specific patient populations. The accelerated enhanced recovery protocols (ERP) tend to vary, and the majority of studies included a small study population. This hampers defining the optimal protocol and