Enhanced recovery after surgery: implementing a new standard of surgical care
Enhanced recovery after surgery (ERAS) is an evidence-based and multidisciplinary perioperative care pathway and a surgical quality improvement initiative, which has been shown to promote patient mobilization, reduce complication rates after surgery, decrease hospital length of stay and reduce costs...
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| Veröffentlicht in: | Canadian Medical Association journal (CMAJ) 2019-04, Vol.191 (17), p.E469-E475 |
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| container_end_page | E475 |
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| container_issue | 17 |
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| container_title | Canadian Medical Association journal (CMAJ) |
| container_volume | 191 |
| creator | Altman, Alon D., MD Helpman, Limor, MD McGee, Jacob, MD Samouëlian, Vanessa, MD PhD Auclair, Marie-Hélène, MD CM Brar, Harinder, MD Nelson, Gregg S., MD PhD |
| description | Enhanced recovery after surgery (ERAS) is an evidence-based and multidisciplinary perioperative care pathway and a surgical quality improvement initiative, which has been shown to promote patient mobilization, reduce complication rates after surgery, decrease hospital length of stay and reduce costs, if carefully implemented. There is an increasing interest across Canada to implement enhanced recovery after surgery recommendations. Several Canadian institutions have succeeded in implementing an official ERAS protocol. However, it can be challenging to start such a program because it requires multidisciplinary effort and the buy-in of many stakeholders. Because the ERAS approach has been shown to decrease the stress of surgery through its objective to maintain patients' normal physiology as far as possible, any patient undergoing surgery could benefit from the approach. The ERAS approach can be broken down into 3 main components: preoperative, intraoperative and postoperative. However, enhanced recovery begins with optimizing a patient's physical status before surgery. |
| doi_str_mv | 10.1503/cmaj.180635 |
| format | Article |
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| ispartof | Canadian Medical Association journal (CMAJ), 2019-04, Vol.191 (17), p.E469-E475 |
| issn | 0820-3946 1488-2329 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Alcohol Anesthesia Antibiotics Cancer Clinical outcomes Clinical trials Collaboration Colorectal surgery Cost reduction Enhanced Recovery After Surgery - standards Evidence-based medicine Hospital patients Hospitals Humans Infections Internal Medicine Nonsteroidal anti-inflammatory drugs Oncology Pain management Patient Care Team - organization & administration Patients Perioperative Care - methods Perioperative Care - standards Pharmaceutical industry Postoperative Complications - prevention & control Primary care Quality control Quality Improvement - standards Recovery (Medical) Review Surgical outcomes Systematic review |
| title | Enhanced recovery after surgery: implementing a new standard of surgical care |
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