Enhanced Recovery After Surgery

ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery.

ERAS represents a paradigm shift in perioperative care in two ways.  First, it re-examines traditional practices, replacing them with evidence-based best practices when necessary. Second, it is comprehensive in its scope, covering all areas of the patient”s journey through the surgical process.

The key factors that keep patients in the hospital after surgery include the need for parenteral analgesia, the need for intravenous fluids secondary to gut dysfunction, bed rest caused by lack of mobility.

The central elements of the ERAS pathway address these key factors, helping to clarify how they interact to affect patient recovery. In addition, the ERAS pathway provides guidance to all involved in perioperative care, helping them to work as a well-coordinated team to provide the best care.

Reduce care time by more than 30%

A recent study shows that ERAS programs allow patients to recover much faster after their operation and this reduces the need for hospital stay by about 30% or more than 2 days after major abdominal surgery. Despite earlier discharge from the hospital, readmissions did not increase (Greco et al. World Journal of Surgery 2014 38:1531-1541).

Reduce complications by up to 50%

ERAS reduce major complications after abdominal surgery by as much as 40%. In particular non-cardiac complications, such as those from the lungs and cardiovascular systems are markedly reduced (Greco et al. World Journal of Surgery 2014 38:1531-1541).