New ERAS textbook now available to order “Enhanced Recovery After Surgery A Complete Guide to Optimizing Outcomes”
  • New Editorial in the BJA from Prof Dileep Lobo and colleagues

    In a new editorial in the British Journal of Anaesthesia, Prof Dileep Lobo and colleagues argue that it is time to sit back and rethink about how we view ‘waiting lists’ for elective surgery. The article is titled “Turning ‘waiting lists’ for elective surgery into......

  • COVID-19 update to the ERAS® Interactive Audit System

    The ERAS® Interactive Audit System, can now also be used to track your patient’s Covid-19 status. This will be beneficial for surgical teams to keep track of the patient’s Covid-19 status and identify how the patient’s Covid-19 status affects the outcome of care. The selection......

  • First Chinese ERAS Society affiliated hospital

    On the 18th August 2020, a Memorandum of Understanding between the ERAS Society and the First University Hospital of Lanzhou China was signed. Prof Li, president of the First University Hospital of Lanzhou signed, along with Prof Olle Ljungqvist and Prof Nicolas Demartines from the......

  • NEW! Guidelines for Vulvar and Vaginal Surgery: ERAS Society Recommendations

    The first collaborative Enhanced Recovery After Surgery (ERAS) Society guideline for optimal perioperative care for vulvar and vaginal surgery has recently been published in the American Journal of Obstetrics and Gynecology. Congratulations to all of the authors for their roles in producing this valuable work.......

  • New editorial on enhanced recovery after Caesarian

    Congratulations to Dr Laurent Bollag and Prof Gregg Nelson on their recent editorial titled “Enhanced Recovery After Cesarean (ERAC) – beyond the pain scores” published earlier this month in the International Journal of Obstetric Anesthesia. Click here for the article....

  • The Post COVID-19 Surgical Backlog: Now is the Time to Implement ERAS

    Members of the ERAS Society Executive Committee; Prof Olle Ljungqvist, Prof Gregg Nelson, and Prof Nicolas Demartines have just published an editorial in the World Journal of Surgery describing the post COVID-19 surgical backlog and the role ERAS can play in helping to deal with......

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.

Reduce care time by more than 30%

A recent study shows that ERAS programs allow patients to recover much faster after their operation and this reduces the need for hospital stay by about 30% or more than 2 days after major abdominal surgery. Despite earlier discharge from the hospital, readmissions did not increase (Greco et al. World Journal of Surgery 2014 38:1531-1541).

Reduce complications by up to 50%

ERAS reduce major complications after abdominal surgery by as much as 40%. In particular non-cardiac complications, such as those from the lungs and cardiovascular systems are markedly reduced (Greco et al. World Journal of Surgery 2014 38:1531-1541).