The 4th ERAS® World Congress

ERAS_2016_save_the_date_580The 4th ERAS® World Congress was held between 27th-30th April 2016, at the Lisbon Marriot Hotel, Portugal and was arguably the most successful to date. As in previous years, it consisted of the ERAS® Course followed by the Scientific Programme. Throughout the Congress, there were many high class and thought-provoking lectures from experts from around the World including North America, Latin America, Australia and South Africa and Europe.

There were nearly 400 registrations for the Congress, with 2/3 of the delegates attending from European Continent, nearly 15% from North America, but with significant numbers too from Asia (8%), South America (5%), Oceania (3%) and Middle East (2%). On a country by country basis, our hosts Portugal provided the most delegates (58) but closely followed by the UK, US, Sweden and Switzerland. The next countries in order of delegates registered were Spain, Italy, Norway, France and Brazil.

The ERAS® course was again a popular event, with the delegates learning about the relevant physiology underpinning the concepts of ERAS, viewed from many perspectives – surgeon, anaesthesiologist, nurse, manager and of course, the patient. There was a step by step approach to implementation of ERAS process and the evidence behind the many elements of care that make up modern ERAS process, including not only the immediate perioperative steps, but also the importance of preoperative patient education and postoperative audit and quality maintenance.

The Scientific Programme some outstanding individual lectures. Of particular note, the prestigious Henrik Kehlet Lecture was given by Professor Rinaldo Bellomo from The University of Melbourne, Australia on “Postoperative urinary output”, and The ERAS Society Lecture was delivered by Professor Paul Greenhaff, from the University of Nottingham, UK on “Immobilisation and muscle function”. Both lectures were superb insights into fundamental physiology and pathophysiology.

There was a popular parallel session on urology and the Delphi process for implementation of guidelines. There was also a session devoted to entirely to Nursing Practice. In addition, new technology and the measurement of the outcomes to which all in ERAS strive (patients, doctors and other healthcare providers and the healthcare purchaser) was debated. The importance of continual challenges of dogma was examined, as was the management of more complicated situations within ERAS, such as diabetes, the elderly and the emergency patient. It is always interesting to return to original research and have papers presented that changed the practice of the experts, as well as how this research is translated into outcome. It was a sign of the worldwide spread of ERAS that there were sessions on newer speciality areas, such as gynaecology, head and neck, breast reconstruction and liver surgery.

The presentation of new and original work and ideas is always a very exciting and thought-provoking area of the ERAS® Congress. Both the oral and poster presentations were again very popular and remind us that whilst ERAS is well established, there are many areas from which we are still learning and that require detailed study and analysis. There were many excellent presentations, with the prize wining oral presentation won by Professor Tom Wainwright (UK) for his team’s work in knee and hip replacements, entitled “How long before routine next-day discharge for primary hip and knee replacement patients in the United Kingdom”.

The huge success of the Congress is made possible only by the hard work of the Organising Committee and the Local Committee, to whom we express our sincere gratitude. In addition, we are most grateful to the sponsorship we receive from industry and the expert assistance from MCI.

The 5th ERAS® World Congress for 2017 is already being planned and we look forward to welcoming you there! Further information will follow over the next month.

ERAS Society Gynecology Guidelines featured at the 47th Annual Meeting on Women’s Cancer held in San Diego, USA.

gynae1The recently published ERAS Society Gynecology Guidelines were given high level exposure at the 47th Annual Meeting on Women’s Cancer held in San Diego, California, USA March 18-22.

The guidelines were highlighted in the Farr Nezhat Surgical Innovation Session. Professor Olle Ljungqvist presented on the history and development of Enhanced Recovery in the Farr Nezhat Plenary lecture. This was followed by presentation of the Guidelines by first author Dr Gregg Nelson of Univ Calgary, Alberta, Canada. Dr Sean Dowdy, Senior author of the Guidelines, presented his experience introducing ERAS at the Mayo Clinic, Rochester, Minnesota. Dr Dowdy co-chaired the session along with Dr Pedro Ramirez from MD Anderson, Houston Texas, who also played a key role in the Guideline work.

Three young investigators presented their work related to ERAS to close the session: Drs. LA Meyer, MD Anderson; J N Bakkum-Gamez, Mayo Clinic; and SC Modesitt, Univ Virginia. The next step underway is the formation of a Gynecology Chapter within the ERAS Society – more to come about this shortly.

April 2016 update

Welcome to our April 2016 update on the ERAS Society Website! This month we bring to you two interviews with Tom Wainwright (Physiotherapist and Associate Professor in Orthopaedics at Bournemoth University, UK) and Yannick Cerantola (Consultant Urologist at Lausanne Switzerland).

Interview with Tom Wainwright

 

Interview with Yannick Cerantola

 

We hope you all enjoy this fresh update!

Also, remember that you can follow us on the Twitter Official Channel to stay up to date with what’s happening in the ERAS field!

 

 

ERAS Implementation Program in Connecticut USA

The ERAS Implementation Program in Connecticut USA held the third work shop was just held in Hartford and the teams are seeing marked improvements in outcomes already in their first patients. The program is plan to finish in July. Prof Franco Carli from McGill in Montreal, Canada was a special guest discussing and presenting special issue related to anaesthesia. The pictures show the participants and faculty outside St Francis hospital in Hartford, CT.

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March 2016 update

Welcome to our March 2016 update on the ERAS Society Website! This month we are delighted to share with you two interviews with Professor Mustapha Adam (Professor of Surgery in Lyon, France) and Mr Nader Francis (Consultant Surgeon in Yoevil, UK).

Interview with Professor Mustapha Adam

 

Interview with Mr Nader Francis

In addition, we also have three new abstracts:

  • Adherence to the ERAS-protocol and 5-year survival after colorectal cancer surgery: A retrospective cohort study, by Henrik Oppelstrup, Olle Ljungqvist, Anders Thorell, Jonas Nygren and Ulf. O. Gustafsson. [Read it here]
  • Comparison of patient reported symptom burden pre- and post- implementation of an Enhanced Recovery Pathway for Gynecologic Surgery, by Larissa A. Meyer, Alpa M. Nick, Maria D. Iniesta, Qiuling Shi, LaKisha Washington, Melinda Harris, Lindsey D. Palmer, Katherine E. Cain, Terri W. Earles, Javier Lasala, Xin S. Wang and Pedro T. Ramirez. [Read it here]
  • Adherence to the Enhanced recovery after surgery protocol and its economic impact. [Read it here]

We hope you all enjoy this fresh update! Also, remember that you can follow us on the Twitter Official Channel to stay updated with what’s happening in the ERAS field!

 

Success of Parts I and II of the Guidelines for postoperative care in gynecologic/oncology surgery

We are delighted to announce that huge success of Parts I and II of the Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Part I is the most downloaded article in Gynecologic Oncology in the last 90 days with Part II the third most downloaded article.

First author, Gregg Nelson, ERAS Lead, Assistant Professor and Tumour Group Leader at Tom Baker Cancer Centre, Calgary, writes:

The ERAS Gynecologic/Oncology Guidelines are extremely important for the advancement of surgical care for both major gynecology and gynecologic oncology. Previous reviews of enhanced recovery protocols in our specialty demonstrated marked dissimilarities among practice patterns – this highlighted the need to develop formalized, evidence-based guidelines. Linking these guidelines with the ERAS Interactive Audit System (EIAS) is underway and will be crucial in order to allow for audit of compliance which has proven to be a key factor required for the success and sustainability of such protocols. We are hopeful that these ERAS guidelines will help integrate existing knowledge into practice, align perioperative care, and encourage future investigations to address existing knowledge gaps.

February 2016 update

Welcome to our February 2016 update on the ERAS Society Website! This month we want to share with all of you two experiences to date of implementing ERAS and their visions for the future with Hans De Boer (Anesthesiologist from Groningen, Holland) and Maciej Matlock (Surgeon from Warsaw, Poland).

Interview with Hans De Boer

Interview with Maciej Matlock

Hope you all enjoy this fresh update! Also, remember that you can follow us on the Twitter Official Channel to stay updated with what’s happening in the ERAS field!

ERAS Alberta Symposium 2016

ERAS albertaThe ERAS Alberta Symposium was held in Calgary on January 15 & 16, 2016 to collaborate, exchange ideas and advance your knowledge in Enhanced Recovery After Surgery (ERAS) practices and researchers.

Presenters included Dr. Henrik Kehlet, Dr. Olle Ljungqvist, Dr. Gabriele Baldini, Dr. Duane Funk and local ERAS champions including Dr. Don Buie, Dr. John Heine (TEMS), Dr. Joseph Dort and Dr. Claire Temple-Oberle. Topics presented included findings on patient experience and elderly friendly approaches to the surgical environment.

Get more info here.

January 2016 update

Welcome to our January 2016 update on the ERAS Society Website! This month we want to share with all of you the following:

  • The six-minute walk test as a measure of postoperative recovery after colorectal resection: further examination of its measurement properties. Nicolò Pecorelli, MD, Julio F Fiore Jr., PhD, Chelsia Gillis, RD, Rashami Awasthi, BSc Benjamin Mappin-Kasirer, Petru Niculiseanu, MD, Gerald M Fried, MD, Francesco Carli, MD, Liane S Feldman, MD. [Read it here]
  • The use of artificial neural networks to predict delayed discharge and readmission in enhanced recovery following laparoscopic colorectal cancer surgery.N. K. Francis, A. Luther, E. Salib, L. Allanby, D. Messenger, A. S. Allison, N. J. Smart, J. B. Ockrim. [Read it here]

Also, remember that you can follow us on the Twitter Official Channel to stay up to date with what’s happening in the ERAS field!

Mayo Clinic: Optimal Surgical Recovery Requires Teamwork

The Enhanced Recovery After Surgery, Optimal Surgical Recovery Requires Teamwork will be held on the Point Hilton Tapatio Cliffs Resort, Phoenix, Arizona, on February 12-13 of 2016.

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, multi-modal approach to perioperative care. Evidence-based data is employed to optimize the patient’s post-op recovery promoting early recovery while post-op complications and costs are reduced. This proactive approach is comprised of data-driven, well thought-out interventions: “Post-op recovery starts in pre-op.”

  • Starting with clearly defined preoperative preparation that involves the spectrum of health care team members, including the patient.
  • Intraoperative approaches that have the entire scope of the patient’s care in mind including post-op recovery – multimodality pain control, pre-emption of nausea, and fluid management to minimize post-op ileus.
  • Post-op order sets and team care that optimize patient recovery, convey the experience of accumulated knowledge and minimize complications and hospital stay.

We will provide evidence-based best practices from foremost international leaders. Discussion panels will allow attendees to pick the brains of teams who have successfully improved their patients’ outcomes, and then return to their institutions with a plan

For more information, please check the General Information & Program document, or visit their Website at this link.

1st National ERAS Society Argentina symposia

argentina flagThe first national ERAS Society Symposia was held November 14 in Buenos Aires at the Italian Hospital, the first ERAS Society Center of Excellence in Argentina.

The event was hosted by Professor Adrián Alvarez with speakers from his own department and with guest speakers RN ERAS specialist nurse Valerie Addor and professor Nicolas Demartines from CHUV Lausanne, Switzerland and professor Olle Ljungqvist Örebro, Sweden.

The hall was filled to the rim with approximately 100 delegates not only from key centers in Argentina but also with key opinion leaders from Chile, Uruguay and Peru. During this event the principles of ERAS were presented alongside the work of the ERAS Society. The interest was extremely high and several teams have already shown their interest in implementing ERAS.

This event was the starting point of the building of the ERAS Society network in Latin America. For more information please contact professor Alvarez:tatotatun@gmail.com.

The organizer acknowledge the unrestricted educational support from MSD.