Reference Work Entry

Encyclopedia of Intensive Care Medicine

pp 867-871

Enhanced Recovery After Surgery Intervention

  • Krishna K. VaradhanAffiliated withHead Dept of Intensive Care, Erasme Hospital (Free University of Brussels)Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre NIHR Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre
  • , Dileep N. LoboAffiliated withHead Dept of Intensive Care, Erasme Hospital (Free University of Brussels)Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre NIHR Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre
  • , Olle LjungqvistAffiliated withUniversity of Chicago Medical CenterDepartment of Surgery, Örebro University Hospital Email author 

Synonyms

Accelerated recovery; Fast-track surgery; Multimodal perioperative care

Definition

Enhanced Recovery After Surgery (ERAS) is a multimodal pathway for perioperative care that is aimed at minimizing the stress response during a patient’s journey through a surgical procedure to facilitate the maintenance of preoperative bodily composition and organ function and thereby achieve early recovery. The key factors that hinder postoperative recovery and delay discharge after uncomplicated major abdominal surgery include the need for parenteral analgesia due to ineffective pain control, intravenous fluids secondary to persistent gut dysfunction and the need for bed rest due to lack of mobility. ERAS pathways incorporate individual care elements designed to address these issues and emphasize the need for a multidisciplinary team approach in the perioperative management of patients using clear guidelines that are based on best quality evidence. Since the introduction of the ...

This is an excerpt from the content