Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?

Kristen A. Ban; Julia R. Berian; Clifford Y. Ko

doi:10.1055/s-0038-1676475

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2019; 32(02): 109-113
DOI: 10.1055/s-0038-1676475

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?

Authors

Kristen A. Ban

¹Department of Surgery, Loyola University Medical Center, Maywood, Illinois

²Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois
Julia R. Berian

²Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois

³Department of Surgery, University of Chicago, Chicago, Illinois
Clifford Y. Ko

²Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois

⁴Department of Surgery, University of California Los Angeles, Los Angeles, California

Abstract

Enhanced Recovery after Surgery (ERAS) protocols are multimodal perioperative care pathways designed to accelerate recovery by minimizing the physiologic stress of a surgical procedure. Benefits of ERAS implementation in colorectal surgery include reduced length of stay and decreased complications without an increase in readmissions. Though there is evidence associating individual ERAS protocol elements (e.g., preoperative carbohydrate loading, judicious perioperative fluid administration, and early initiation of postoperative nutrition) with improved outcomes, ensuring high compliance with all elements of an ERAS protocol will maximize benefits to the patient. After ERAS implementation, data collection on protocol process measures can help providers target education and interventions to improve protocol compliance and patient outcomes.

Keywords

Enhanced Recovery after Surgery - fast-track surgery - outcomes

Full Text

References

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