Enhanced recovery after surgery (ERAS) in clinical practice

  • Robert Leger Temple University Lewis Katz School of Medicine, 3401 N. Broad Street, Suite B30 Philadelphia, Pennsylvania 19140, USA.
  • Jon Livelsberger Temple University Lewis Katz School of Medicine, 3401 N. Broad Street, Suite B30 Philadelphia, Pennsylvania 19140, USA.
  • Ashish Sinha Temple University Lewis Katz School of Medicine, 3401 N. Broad Street, Suite B30 Philadelphia, Pennsylvania 19140, USA.
Keywords: Enhanced Recovery After Surgery, ERAS, Enhanced Recovery Program, ERP, Fast track recovery, Surgical quality improvement, Hospital stay, Traditional care methods

Abstract

‘Enhanced Recovery After Surgery’ (ERAS) protocols are an evidence-based, multidisciplinary system for patient care that— since its emergence in 2001— has shown remarkable efficacy in reducing surgical complications, shortening length of stay (LoS), and the incidence of hospital re-admission. Unfortunately, wide spread acceptance of ERAS has been slow, as it conflicts with some traditional perioperative care practices. However, with protocol compliance >70%, studies have shown significant reduction in mortality and postsurgical complications, with 30-50% reduction in LoS and approximately a 50% reduction in complications.

Published
07-08-2020
How to Cite
Leger, R., Livelsberger, J., & Sinha, A. (2020). Enhanced recovery after surgery (ERAS) in clinical practice. Anaesthesia, Pain & Intensive Care, 24(3), 335-345. https://doi.org/10.35975/apic.v24i3.1287
Section
Review Article