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Published on: October 29, 2014
Development of a clinical pathway for enhanced recovery in colorectal surgery: a Canadian collaboration
Leah M. Gramlich1, Brae Surgeoner1, Gabriele Baldini1
1From the Department of Medicine, University of Alberta, Edmonton, Alta. (Gramlich); CancerControl Alberta, Alberta Health Services, Calgary, Alta. (Surgeoner); the Department of Anesthesia, McGill University, Montreal, Que. (Baldini); Eastern Health, St. John’s, Nfld. (Ballah); the Ministry of Corrections and Policing, Swift Current, Sask. (Baum); the Department of Surgery, St. Paul’s Hospital, University of British Columbia, Vancouver, BC (Karimuddin); the Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nelson); the Department of Anesthesiology and Pain Medicine, Maisonneuve-Rosemont Hospital/CEMTL, Université de Montréal, Montreal, Que. (Richebé); the Department of Nursing, McGill University, Montreal, Que. (Watson); and the Canadian Patient Safety Institute, Edmonton, Alta. (Williams).
Summary:
Enhanced Recovery After Surgery (ERAS) is a model of care that was introduced in the late 1990s by a group of surgeons in Europe. The model consists of a number of evidence-based principles that support better outcomes for surgical patients, including improved patient experience, reduced length of stay in hospital, decreased complication rates and fewer hospital readmissions. A number of Canadian surgical care teams have already adopted ERAS principles and have reported positive outcomes. Arising from the Canadian Patient Safety Institute’s Integrated Patient Safety Action Plan for Surgical Care Safety, and with support from numerous partner organizations from across the country, Enhanced Recovery Canada is leading the drive to improve surgical safety across the country and help disseminate these ERAS principles. We discuss the development of a multidisciplinary clinical pathway for elective colorectal surgery to help guide Canadian clinicians.
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