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Surgical Patient Care pp 349–361Cite as

Enhanced Recovery After Surgery: ERAS

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Abstract

Enhanced recovery after surgery (ERAS®) pathways involve a series of perioperative evidence-based interventions that were developed for elective colorectal surgery. The adoption of ERAS pathways has resulted in improved outcome in terms of reduced morbidity, faster recovery, and reduced length of hospital stay in dedicated centers. Although most evidence for the use of several of the individual ERAS elements have been established within colorectal surgery, recent ERAS guidelines have been published for anesthesia practice, cystectomy for bladder cancer, gynecology, bariatric surgery, gastrectomy, and pancreaticoduodenectomy. In the area of hepatic surgery, the same is expected within the next year. We provide an overview of perioperative ERAS care for colorectal surgery, pelvic procedures, and upper gastrointestinal surgery, based on currently available best evidence.

“If you can't measure it you can’t manage it.”

—Peter Drucker

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Abbreviations

CR:

Colorectal

EDA:

Epidural anesthesia

ERAS:

Enhanced recovery after surgery

GI:

Gastrointestinal

GNP:

Gross national product

PCA:

Patient-controlled analgesia

PD:

Pancreaticoduodenectomy

PONV:

Postoperative nausea and vomiting

QoL:

Quality of life

UGI:

Upper gastrointestinal

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Author information

Authors and Affiliations

  1. Department of Surgery, Ersta Hospital, 4622, Fjällgatan 44, Stockholm, 116 91, Sweden

    Jonas Nygren MD, PhD & Anders Thorell MD, PhD

  2. Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden

    Olle Ljungqvist MD, PhD

Authors
  1. Jonas Nygren MD, PhD
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  2. Olle Ljungqvist MD, PhD
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  3. Anders Thorell MD, PhD
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Corresponding author

Correspondence to Jonas Nygren MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Surgery Ascension Saint Agnes Hospital Armstrong Institute for Patient Safety & Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Juan A. Sanchez

  2. Children’s Cardiomyopathy Foundation and Kyle John Rymiszewski Research Scholar, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

    Paul Barach

  3. Department of Surgery Center for Healthcare Studies Institute for Public Health and Medicine Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Julie K. Johnson

  4. Division of Cardiovascular Surgery Johns Hopkins All Children’s Heart Institute Johns Hopkins All Children’s Hospital, Johns Hopkins University, Saint Petersburg, FL, USA

    Jeffrey P. Jacobs

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Nygren, J., Ljungqvist, O., Thorell, A. (2017). Enhanced Recovery After Surgery: ERAS. In: Sanchez, J., Barach, P., Johnson, J., Jacobs, J. (eds) Surgical Patient Care. Springer, Cham. https://doi.org/10.1007/978-3-319-44010-1_22

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