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Implementation of an ERAS Pathway in Colorectal Surgery

Paul Cavallaro¹, Liliana Bordeianou¹

¹Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Clinics in Colon and Rectal Surgery

|March 6, 2019

Summary

Enhanced Recovery after Surgery (ERAS) protocols significantly improve outcomes and reduce hospital stays for colorectal surgery patients. This article details a specific ERAS pathway, offering a checklist for implementation at other facilities.

Area of Science:

Colorectal Surgery
Surgical Protocols
Patient Recovery

Background:

Enhanced Recovery after Surgery (ERAS) protocols are proven to improve patient outcomes.
Colorectal surgery patients can benefit from standardized recovery pathways.
Optimizing perioperative care is crucial for surgical success.

Purpose of the Study:

To present the specific components of an ERAS protocol for colorectal surgery.
To detail surgical and anesthetic pathways within the ERAS protocol.
To provide evidence supporting ERAS protocol elements.

Main Methods:

Implementation of a comprehensive ERAS protocol.
Detailed description of preoperative, perioperative, and postoperative care.
Review of evidence supporting ERAS components.

Main Results:

The implemented ERAS protocol significantly improved postoperative outcomes.
Reduced hospital length of stay observed in colorectal surgery patients.
The protocol is adaptable for use in other institutions.

Conclusions:

The described ERAS protocol offers substantial benefits for colorectal surgery patients.
Standardized ERAS pathways can be effectively implemented across institutions.
A provided checklist facilitates the adoption of this ERAS protocol.

Keywords:

colorectal enhanced recovery protocol

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