Recovery after surgery: time to break with tradition

Nurses Section Chair: Angie Balfour, RN

A new article has just been published in the Nursing Standard featuring ERAS Society Nurse Section Chair, Angie Balfour.

Pearce ,L.(2018).Recovery after surgery: time to break with tradition. Nursing Standard, 33(6), 70-72.doi:10.7748/ns.33.6.70.s27

Click here for the full article

Report from the SwERAS Conference 2018

The second annual SwERAS conference was successfully held in November 2018, with 110 participants from a variety of professions and medical specialties. Twentyfour different hospitals, from three countries, were represented.
The sessions included a broad variety of topics. There was an in depth discussion after a large survey concerning practical implementation of the ERAS program for colorectal surgery. There were two inspiring examples from ERAS – hospitals in Sweden and Norway. The University Hospital of Sahlgrenska in Gothenburg presented there work with enhanced recovery after pancreas surgery. Östfolds hospital in Norway had a presentation of there way to achieve low complicationrate, short length of stay and high compliance to ERAS.
One session highlighted the importance of identifying, and special preoperative workup, for the high risk patients. With the Swedish SPOR registry as a base we had a number of lectures concerning the danger of surgery in a metabolic, respiratory, cardiac and mentally perspective.
Validation of the EIAS database is vital for extraction of correct data. Both for benchmarking within each hospital and for future research. SwERAS is therefore planning for a national validation program, during 2019, of each Swedish hospital that participates in an ERAS program.
One highlight of the two days was our guest speaker professor Nicolas Dermartines, University Hospital of Lausanne, Switzerland. He addressed the challenges of ERAS in liver and pancreas surgery on the first day of the conference, and both a historical and futuristic view on the subject: From surgical technique to ERAS, on the second day.
There was also plenty of time at coffee breaks and at lunch to network with other colleagues and get practical tips and tricks how to implement and how to maintain the ERAS spirit.
The 3rd SwERAS conference will be held in Stockholm on the 21 – 22 of November 2019. Welcome!
Lars Johansen

ERAS® Society & ERAS® Society Latin America sign partnership with the Brazilian Society of Anesthesiology and São Paulo State Society of Anesthesiology

From left to right: Dr. Othon Bastos (President of São Paulo Society of Anesthesiologists), Dr. Sérgio Logar, (President of Brazilian Society of Anesthesiologists), Dr. Hans de Boer (Treasurer of ERAS® Society) and Dr. Adrian Alvarez (President of ERAS® LATAM).

At the recent 65th annual Congress of the Brazilian Society of Anesthesiologist in Belem, Brazil, a memorandum of understanding was signed between the Brazilian Society of Anesthesiology, São Paulo State Society of Anesthesiology, the ERAS® Society and the ERAS® Society Latin America.

Dr. Othon Bastos (President of São Paulo Society of Anesthesiologists) and Dr. Sérgio Logar, (President of Brazilian Society of Anesthesiologists) signed on behalf of their societies.
The objective of this collaboration is to define joint strategies in order to promote perioperative care in Brazil in line with the best scientific evidence-based medicine practices according to the ERAS® Society methodology.

Furthermore, we have agreed to extend collaboration between the societies in the field of education and scientific research according to the operational guidelines of the ERAS® Society.
We are looking forward to this new international collaboration.

Adrian Alvarez, ERAS® Society Latam Chapter
Hans de Boer, Eras® Society

New Textbook – Analgesia in Major Abdominal Surgery

A new textbook edited by Prof Michael Scott and Dr Anton Krige presents the current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.

Click here to see more details on the Springer website

ERAS in Mexico

Last August 11th, 2018 we received at the National Cancer Institute, Mexico, Dr. Adrián Álvarez and Nurse Gabriela Sánchez from Hospital Italiano de Buenos Aires. The objective was to start our training to implement ERAS in our Digestive Tract Tumors Department.  We counted with the presence of the Associate Medical General Director of our Institution, Dr. Ángel Herrera Gómez, and Vice-Director of Surgery, Dr. Aarón González Enciso.

For the implementation of this program we created a team in each area that this program will be implemented, the Colorectal team, coordinated by the Head of the Department, Dr. Horacio López Basave and the Pancreatic surgery team coordinated by Dr. Javier Melchor Ruan.  With a total of 20 attendants the training started in the morning discussing the goals of the ERAS program and stating which is the necessary process for its implementation. Doubts about how to manage changes in the perioperative process of the patient were clarified and each team set its short- term goals. We had the first contact with EIAS system and we defined activities for the first two months.

With great enthusiasm we started our training counting with the active presence of Nurse Mariana Perales; authorities of the Nurse Department of the Institution as well as representatives of the Anesthesia and Nutrition Departments, associate physicians and residents.

Dr. Javier Melchor Ruan- ERAS INCAN Program Coordinator

Top Row – left to right: Crisenry Brito Baños- Anesthesiologist, Luis Cuellar- Head of Anesthesia Department, Abraham Fabela- Anesthesiologist, Luis Orozco Rosas- Surgery resident, Maura Judith Tomas- Anesthesiologist, Sergio Aguilar- Oncologic Surgery resident, Gerardo Miranda: Pancreatic Associate surgeon, Aarón González Enciso: Surgery Vice Director, Javier Melchor : ERAS Program Coordinator, Itzel Vela Sarmiento: Associate Colorectal Surgeon, Mariana Perales: ERAS Program Nurse Coordinator, María Josefina, Flores: Nutritionist, Anabel Labana – Nutritionist, Alberto León : Associate Colorectal Surgeon
Bottom row – left to right: Emma Ávila García: Surgery Nurse Supervisor, Inés Mendoza Santos: Head Nurse, National Cancer Institute, Horacio López Basave: Head of Digestive Tract Tumor Department, Adrián Álvarez, Juan Manuel Ruiz: Surgical Coordinator, Erika Gonzalez Soriano: Surgery Head Nurse

 

 

 

 

 

The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS® and ERAS® USA Societies

NEW PUBLICATION ALERT!

Click here to access this new publication produced by members of the ERAS Society.

 

Elias KM, Stone AB, McGinigle K, Tankou JI, Scott MJ, Fawcett WJ, Demartines N, Lobo DN, Ljungqvist O, UrmanRD; ERAS® Society  and ERAS® USA (2018) The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS® and ERAS® USA Societies. World J Surg. 2018 Aug 16. doi: 10.1007/s00268-018-4753-0. 

“The RECOvER Checklist is intended to provide a standardized framework for the reporting of ERAS related studies. The checklist can also assist reviewers in evaluating the quality of ERAS-related manuscripts. Authors are encouraged to include the RECOvER Checklist when submitting ERAS-related studies to peer-reviewed journals.”

8th ERAS UK Conference, 16th November 2018, Heathrow Airport, London, UK.

This year ERAS UK are arranging this conference in partnership with Macmillan Cancer Support and will be focussing on the optimisation of treatment and recovery, throughout a cancer patient’s journey.

 

 

 

At the end of this event, participants should be able to:

  • Describe the impact of prehabilitation on the treatment of cancer patients
  • Discuss the new developments in anaesthesia and perioperative care for cancer patients
  • Explain the innovative approaches used for prehabilitation in primary care
  • Debate the challenges for prehabilitation of cancer patients within the regulated waiting times
  • Consider the recent innovations in ERAS practice across the UK
  • Describe the current best practice for optimising patient condition through palliative chemotherapy
  • Reflect on the various models of prehabilitation that exist at different centres in the UK
  • Explain the links between prehabilitation and cancer commissioning priorities

For all the details on programme, speakers, and how to register, click here

1st World Congress on Enhanced Recovery After Surgery in Pediatrics

The 1st World Congress on Enhanced Recovery After Surgery in Pediatrics, will be held on November 30 – December 1, 2018, at the McGlothlin Medical Education Center, 1200 East Marshall Street, Richmond, Virginia, United States of America.

This inaugural event will bring together experts in surgery, anesthesia and medicine to discuss the pediatric-specific implications of developing an enhanced recovery after surgery program. A full one and a half days are devoted to lectures and discussions related to current pediatric ERAS programs and will provide a platform for collaboration on future projects related to ERAS outcomes around the world.

Click here to download the full programme and details of how to register