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Enhanced Recovery After Surgery and Future Directions
Amit Merchea1, David W Larson2
1Division of Colon and Rectal Surgery, Mayo Clinic, Mayo Clinic College of Medicine, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
The Surgical Clinics of North America
|November 5, 2018
Summary
Enhanced Recovery After Surgery (ERAS) pathways are common, but compliance is an issue. Simplifying protocols and adding complementary care like prehabilitation can improve ERAS adoption and patient outcomes.
Area of Science:
- Perioperative Medicine
- Surgical Outcomes
- Healthcare Implementation Science
Background:
- Enhanced Recovery After Surgery (ERAS) pathways are increasingly adopted but face challenges in compliance and implementation.
- Existing ERAS protocols may be complex, hindering widespread uptake and consistent application.
Purpose of the Study:
- To explore strategies for improving the adoption and effectiveness of ERAS pathways.
- To identify key elements for successful ERAS implementation and expansion.
Main Methods:
- Review of current ERAS protocols and implementation barriers.
- Analysis of complementary perioperative care models, including prehabilitation, the perioperative surgical home, and telemedicine.
- Discussion of future directions for ERAS dissemination and patient care.
Main Results:
- Simplifying ERAS protocols by retaining core elements can aid implementation.
- Complementary protocols can enhance the overall ERAS approach.
- Expanding ERAS beyond the hospital setting is crucial for future success.
Conclusions:
- Improving ERAS uptake requires addressing compliance and implementation barriers.
- A streamlined approach to ERAS, supported by integrated care models, can optimize patient outcomes.
- Future ERAS development should focus on broader dissemination and extended perioperative care.
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