ERAS shown to improve outcomes

Editor's Note

In this review article, researchers conclude that implementation of Enhanced Recovery after Surgery (ERAS) programs results in major improvements in clinical outcomes and cost savings, which makes ERAS an important example of value-based care applied to surgery.

ERAS practices include:

• changes from overnight fasting to carbohydrate drinks 2 hours before surgery
• minimally invasive approaches instead of large incisions
• management of fluids to seek balance rather than large volumes of IV fluids
• avoidance of early removal of drains and tubes
• early mobilization
• serving of drinks and food the day of surgery.

ERAS protocols improve the opportunity for rapid, uncomplicated recovery after surgery with short- and long-term benefits for patients while improving quality and saving money, the authors say.

Importance Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care, resulting in substantial improvements in clinical outcomes and cost savings. Observations Enhanced Recovery After Surgery is a multimodal, multidisciplinary approach to the care of the surgical patient.