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ENHANCED RECOVERY

AFTER SURGERY (ERAS)

ERAS is also known as ESR, which stands for Enhanced Surgical Recovery. ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing surgery. Anesthesiologists play a critical role in ERAS and often perform specialized nerve blocks to facilitate the process. G2 anesthesiologists are proficient in performing all advanced level nerve blocks and have actively been participating in ERAS since 2011. 

THE IMPORTANCE OF ERAS

ERAS represents a paradigm shift in perioperative care in two ways: 

1.

It re-examines traditional practices, replacing them with evidence-based best practices when necessary.

The key factors that keep patients in the hospital after surgery include:

1.

The need for parenteral analgesia (IV pain medications).

The central elements of the ERAS pathway address these key factors, helping to clarify how they interact to affect patient recovery. We accomplish this by minimizing narcotics with non-opioid medications and modalities, encouraging timely consumption of a clear carbohydrate drink before your surgery, and employing goal directed fluid therapy (GDFT) with sophisticated intraoperative monitors. In addition, the ERAS pathway provides guidance to all involved in perioperative care, helping them to work as a well-coordinated team to provide the best care. 

No matter where you have surgery, you should inquire about ERAS

and verify your anesthesiologist is an active participant.

REDUCE CARE TIME BY MORE THAN

30%

A recent study shows that ERAS programs allow patients to recover much faster after their operation and this reduces the need fo hospital stay by about 30% or more than 2 days after major abdominal surgery. Despite earlier discharge from the hospital, readmissions did not increase.

 

(Greco et al. World Journal of Surgery 2014 38:1531-1541)

REDUCE COMPLICATIONS BY UP TO

50%

ERAS reduce major complications after abdominal surgery by as much as 40%. In particular non-cardiac complications, such as those from the lungs and cardiovascular systems are markedly reduced. 

(Greco et al. World Journal of Surgery 2014 38:1531-1541)

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