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Enhanced Recovery After Surgery Intervention

Synonyms

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.