• 1st Meeting of ERAS in Thoracic Surgery in Chile – 5 Sep 2019

    The first meeting in Chile to discuss ERAS in Thoracic Surgery will be held on the 5th September 2019 with an international faculty including Dr. Tim Batchelor, a Thoracic Surgeon. from the University Hospitals Bristol NHS in the UK and also lead author of the recently......

  • Guidelines for perioperative care in gynecologic/oncology – 2019 update

    The ERAS Society is delighted to announce that the “Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update” have just been published in the International Journal of Gynecological Cancer (IJGC). The guidelines are FREE to download and are available here.......

  • New and updated ERAS Society Colorectal Surgery Guidelines

    The new and updated “Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018” are now available online by clicking here. View all of the ERAS Society guidelines by clicking here....

  • ERAS Society Lung Surgery Guidelines

    The “Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS)” are now available online by clicking here. View all of the ERAS Society guidelines by clicking here....

  • ERAS Society Esophagectomy Recommendations

    The “Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations” are now available online by clicking here. View all of the ERAS Society guidelines by clicking here....

  • The Role of Oral Antibiotic Preparation in Elective Colorectal Surgery

    ERAS Society guidelines have recommended that mechanical bowel preparation (MBP) should not be used for patients undergoing colonic surgery and that it should be used selectively for patients undergoing rectal surgery. This has been based on the fact that mechanical bowel preparation on its own......

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).