Congratulations to Prof Mary Brindle and colleagues on their new publication. The article compares the differences between enhanced recovery after surgery (ERAS), perioperative surgical home and fast-track surgery. It explains the various components of an ERAS protocol in paediatrics, and proposes future directions for multidisciplinary......
Enhanced Recovery After Surgery
ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery.
ERAS represents a paradigm shift in perioperative care in two ways. First, it re-examines traditional practices, replacing them with evidence-based best practices when necessary. Second, it is comprehensive in its scope, covering all areas of the patient”s journey through the surgical process.
The key factors that keep patients in the hospital after surgery include the need for parenteral analgesia, the need for intravenous fluids secondary to gut dysfunction, bed rest caused by lack of mobility.
The central elements of the ERAS pathway address these key factors, helping to clarify how they interact to affect patient recovery. In addition, the ERAS pathway provides guidance to all involved in perioperative care, helping them to work as a well-coordinated team to provide the best care.