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July 15, 2020Anaesthesia Pain & Intensive CareOpen Access

Enhanced recovery after surgery (ERAS) in clinical practice

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Why the study?

Widespread acceptance of Enhanced Recovery After Surgery (ERAS) protocols has been slow because they conflict with traditional perioperative care practices.

Do Enhanced Recovery After Surgery (ERAS) protocols improve clinical outcomes and reduce length of stay compared to traditional perioperative care in surgical patients?

Population

Surgical patients

Comparison

Enhanced Recovery After Surgery (ERAS) protocols vs Traditional perioperative care practices

Design

Review

Authors

RLRobert F LegerTemple UniversityJLJon LivelsbergerTemple University HospitalASAshish SinhaCalifornia State University, Dominguez Hills

Discussion

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Implication

High ERAS compliance may reduce complications and LoS; leaves open optimal strategies to overcome adoption barriers.

Structured PICO

Do Enhanced Recovery After Surgery (ERAS) protocols improve clinical outcomes and reduce length of stay compared to traditional perioperative care in surgical patients?

P
Population
Surgical patients
I
Intervention
Enhanced Recovery After Surgery (ERAS) protocols
C
Comparator
Traditional perioperative care practices
O
Outcome
Surgical complications, length of stay (LoS), hospital re-admission, and mortality

High compliance with ERAS protocols is associated with substantial reductions in surgical complications, length of stay, and mortality.

Cite This Study

Leger et al. (2020) studied this question.

synapsesocial.com/papers/6a70be5a78a11c550e0aba2chttps://doi.org/10.35975/apic.v24i3.1287
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reducing morbidity and complications after major head and neck cancer surgery: the (future) role of enhanced recovery after surgery protocols2018 · 31 citations
  2. 2Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations2012 · 1,099 citations
  3. 3Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations2016 · 624 citations
  4. 4Enhanced Recovery after Cardiac Surgery: An Update on Clinical Implications2017 · 34 citations
  5. 5Laparoscopy in Combination with Fast Track Multimodal Management is the Best Perioperative Strategy in Patients Undergoing Colonic Surgery2011 · 760 citations