Podcast – What’s the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation?

In this podcast, Prof Mike Grocott, interviews guests;

Olle Ljungqvist, Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospital & Karolinska Institute, Sweden

Franco Carli, Prof. MD, PhD, Anesthesiologist, McGill University, Canada.

They discuss the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation, and their highlights of the recent prehabilitation conference in Eindhoven.

Click here

World Journal of Surgery is now the official publication of the ERAS Society

The ERAS Society is delighted to announce that the World Journal of Surgery (WJS) has become the official journal for society.  This new relationship, and the mission of the ERAS Society very much fits the mission of the WJS, which is to promote innovation and discovery that helps to improve patient outcomes on the international stage.

Sosa, J.A. & Ljungqvist, O. World J Surg (2018).

Professor Kenneth Fearon Memorial Cancer Cachexia Symposium

On the 6-7th September 2018, the Professor Kenneth Fearon Memorial Cancer Cachexia Symposium will be held at Edinburgh University. As well as being a pioneer in the field of ERAS, Prof Fearon was as a leading light in the field of cancer cachexia, with over 170 peer-reviewed publications focused on the topic.

For more details on the symposium click here

New delphi study from ERAS experts – a consensus on training and implementation of ERAS

Congratulations to Prof Nader Francis and colleagues on their recently published Delphi study looking to provide a consensus on training and implementation of Enhanced Recovery After Surgery. Effective ERAS training courses must cover the evidence-based principles of ERAS with team-oriented training, and successful implementation of ERAS requires strong leadership, an ERAS facilitator and an effective MDT.

Click here to read the full article in the World Journal of Surgery.

Report on the 6th ERAS® World Congress

The 6th ERAS® Society World Congress was held at the Clarion Sign Hotel, Stockholm, Sweden, from the 23rd – 25th May 2018.  Enjoying beautiful spring sunshine, the Congress was our most successful to date. The international standing of the Society was confirmed attracting 585 delegates worldwide. Whilst the majority came from Europe (73%), over 11% of delegates came from both North America and Asia, with smaller numbers from Oceania (2%), South America (2%), and Africa (<1%). Locally we had very strong support, attracting 137 Swedish delegates.

 

This was easily the best attended Congress to date with a nearly 50% increase in numbers from Lyon in 2017 (393) and Lisbon in 2016 (389). We also surpassed the numbers in Washington in 2015 (492) – which was a combined meeting with EBPOM and ASER. These delegate numbers reflect the growing worldwide interest for ERAS®. We also had 13 abstracts selected for oral presentation and 102 poster presentations (all published in Clinical Nutrition ESPEN 2018;25:166-209 with a link to the abstracts here).

 

On 23rd May, there was the ever-popular ERAS® course where delegates learnt about the relevant pathophysiology and perspectives from different healthcare professionals – surgeons, anaesthesiologists and nursing.  In addition, clinical audit and speciality-specific areas were covered. There were also a number of other symposia – cardiac surgery, women’s health/gynecology, urology, nursing and AHP meeting during this first afternoon. A major highlight of the day was the official joining of ERAS® Cardiac Surgery to the ERAS® Society.

 

The Scientific Programme began on 24th May and following addresses by both the ERAS® Chairman,  Professor Olle Ljungqvist and Professor Anders Thorell (Congress Chairman), new frontiers were discussed. A highlight was The Ken Fearon lecture, delivered by Professor Luca Gianotti, from Monza, entitled “Critical aspects of clinical trials in surgery and ERAS”.

 

The majority of this day focussed on new ERAS® frontiers (thoracic surgery, emergency laparotomy, pediatric surgery and cardiac surgery), perioperative anaemia, the challenging ERAS patient (diabetes, mobilisation with paraplegia, dementia and substance abuse) and the difficult problem of postoperative ileus also discussed. A popular session was the interactive discussion about complex cases. The day ended with presentations of the best six abstracts.

 

The final day’s highlight was The Henrik Kehlet lecture, delivered by Professor Pierre-Alain Clavien from Zurich, entitled “New concept of benchmarking in surgery”, tracing the evolution of Clavien-Dindo classification into the Comprehensive Complication Index (CCI).  Other sessions included experts discussing epidurals versus wound catheters, delayed gastric emptying, bowel preparation, and barriers to the adoption of ERAS® worldwide. One area that has received little attention to date is what to do with the ERAS® patient after discharge from hospital? An entire session was devoted to this with presentations on nutrition, thromboprophylaxis, exercise training and structured nursing follow-up. The concepts of ERAS® and survival – both long and short term – and patient partnership were also discussed. Seven excellent rapid-fire presentations were also delivered.

 

The congress ended with presentation of the best paper prize to:

 

THE EFFECTS OF BETA-BLOCKER THERAPY ON EARLY MORTALITY FOLLOWING EMERGENCY COLON CANCER SURGERY 

Rebecka Ahl 1, Peter Matthiessen 1, 2, Xin Fang 3, Yang Cao 1, 3, Gabriel Sjölin 1, 2, Rickard Lindgren 2, Olle Ljungqvist 1, 4, Shahin Mohseni 1, 2

1 School of Medical Sciences, Örebro University, 2 Department of Surgery, Örebro University Hospital, Örebro, 3 Institute of Environmental Medicine, 4 Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden

 

And the best rapid fire presentation to:

 

RISK FACTORS FOR DELAYED GASTRIC EMPTYING AFTER PANCREATICODUODENECTOMY AND NEED FOR ENTERAL FEEDING ACCESS IN THE ERAS® ERA

William B. Lyman 1, Michael Passeri 2, Russell C. Kirks 1, Allyson Cochran 2, John B. Martinie 2, Dionisios Vrochides 2, Erin H. Baker 2, David A. Iannitti 2.

1 Department of Surgery, Carolinas Medical Center, Charlotte, United States; 2 Division of HPB Surgery, Carolinas Medical Center, Charlotte, United States

 

What were the highlights? The two keynote lectures were, as always, enthralling. The wealth of excellent research is always heartening as superb worldwide talent is taking ERAS® forward. The satellite symposia? The ERAS® Course? The many excellent lectures? The joining of ERAS® Cardiac Society?

 

Full details of the Congress and our sponsors can be found here. Also, follow us on twitter @ErasSociety, we have increased our followers to nearly 1700! We had very good twitter activity with over 175 individuals sending over 800 tweets and using #ERAS2018, in all reaching nearly a quarter of a million people! Finally keep an eye for interviews and photos from the Congress which will be posted on the website the coming months.

 

We offer our sincere thanks to all involved in the delivery of an outstanding meeting, in particular the Congress President Anders Thorell and his local organising Committee, the speciality group chairs and the ERAS® executive committee. In addition many thanks go to our sponsors and our excellent congress planners, MCI Suisse.

 

Already we are planning the 7th ERAS® Society World Congress which will be held at the Liverpool Arena and Convention Centre (ACC),UK, May 1-3, 2019. Please make a note of the date and we very much look forward to welcoming you and your teams there!

 

Dr WJ Fawcett

June 2018

Live Urological Surgery Symposium hosted by Dr Yannick Cerantola

Dr Yannick Cerantola (Urologist and Chairman of the ERAS Urology Chapter) and his team are organising a live surgery symposium on Monday 28th May 2018, in Lausanne, Switzerland. The aim of this masterclass is to demonstrate how the application of ERAS protocols, deep neuromuscular blockade and enhanced surgeon-anesthetist interaction can benefit a patient’s recovery through a live urological procedure. 

Click here for all for the details

ERAS Society – Executive committee and appointed officers

Ahead of the World Congress next week we have updated our website.

Short biographies and photos are now provided for the executive committee and appointed officers who run the day-to-day businesses of the society. Click here to view the Committees page

We look forward to meeting both new and old friends in Stockholm next week.

Successful First ERAS Society Turkey Congress

 

ERAS Society Turkey, the national ERAS Society for Turkey was officially formed in 2017. Last week, May 3-5, the first ERAS Society Turkey congress was held in Ankara under the leadership of Prof Haldun Gundogdu.

More than 370 enthusiastic delegates from around the country attending the 3 day event. Surgeons, Anesthetist, nurses and other allied health professionals attended this multi professional multi disciplinary congress. More than 90 abstracts had been submitted. Invited speakers from abroad were professor Henrik Kehlet (DK) and Dr Medhat Slabi (Dubai) and from the ERAS Society Prof Olle Ljungqvist (SE) and ERAS nursing group lead Angie Balfour.

In conjunction with the meeting Olle Ljungqvist ERAS Society and Haldun Gundogdu the Turkish sister organization signed the collaboration agreement to have the national society represent the ERAS Society in Turkey. Plans for a fast development of Centers of Excellence to help spread the ERAS principles across Turkey.

Olle Ljungqvist & Haldun Gundogdu

ERAS Cardiac Surgery Named Official Heart Surgery Representative for ERAS Society

The ERAS Society is delighted to announce that it has formalized an agreement with ERAS® Cardiac Surgery for them to has to act as the sole official ERAS® Cardiac Surgical Specialty Society representing ERAS® Society on a global level.

In addition, the ERAS® Cardiac Surgery has been granted the distinct privilege to propose which hospital(s) should be appointed ERAS® Centers of Excellence in Cardiac Surgery.

“The ERAS® Society is very pleased to have added this important surgical discipline to the fast -growing network of specialties around the world.” said Professor Olle Ljungqvist. “The ERAS® Cardiac Surgery Society is a formidable group of experts that will play a pivotal role to develop and implement ERAS for the benefit of the large number of patients undergoing cardiac surgery world wide”

Click here for the full press release