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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Jul 11, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Enhanced recovery protocols for ambulatory surgery.

Daniel S Cukierman1, Juan P Cata1, Tong Joo Gan2

  • 1Department of Anesthesiology and Perioperative Medicine, The University of Texas - MD Anderson Cancer Center, Houston, TX, USA; Anesthesiology and Surgical Oncology Research Group, Houston, TX, USA.

Best Practice & Research. Clinical Anaesthesiology
|November 8, 2023
PubMed
Summary

Enhanced Recovery After Surgery (ERAS) protocols are vital for improving ambulatory surgery outcomes. Implementing ERAS optimizes patient care, reduces costs, and enhances satisfaction in same-day and extended recovery surgical settings.

Keywords:
ambulatoryanesthesiaenhanced recoverynauseapainperioperative medicinerecoveryregional anesthesiavomiting

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Area of Science:

  • Anesthesiology
  • Surgical Care
  • Health Services Research

Background:

  • Ambulatory surgeries constitute a significant majority of procedures in the US, with millions performed annually.
  • Complex surgeries are increasingly performed in ambulatory settings, driving the need for efficient care models.
  • The ambulatory surgery market is substantial and projected to grow, offering significant cost-saving potential for healthcare systems.

Purpose of the Study:

  • To review the current evidence on Enhanced Recovery After Surgery (ERAS) protocols for ambulatory surgery.
  • To highlight the key elements and clinical significance of implementing ERAS in outpatient surgical settings.
  • To underscore the role of ERAS in improving patient outcomes and reducing healthcare costs.

Main Methods:

  • This review synthesizes existing research and literature on ERAS protocols in ambulatory surgery.
  • It examines the core components of ERAS, including preoperative optimization, pain management, prophylaxis, fluid balance, and early mobilization.
  • The review emphasizes the interdisciplinary approach required for successful ERAS implementation.

Main Results:

  • ERAS protocols are associated with reduced length of stay, decreased costs, and improved patient satisfaction.
  • Key components like multimodal analgesia and early mobility are crucial for successful recovery.
  • Anesthesiologists play a critical role in managing postoperative nausea and pain within ERAS frameworks.

Conclusions:

  • ERAS protocols represent a vital, evidence-based approach to enhancing the quality and efficiency of ambulatory surgery.
  • Successful implementation requires a multidisciplinary team and a strong safety culture.
  • Adoption of ERAS is expected to increase, transforming clinical practices in ambulatory surgical centers.