Guidelines for Perioperative Care in Cardiac Surgery – Now over 107,000 views/downloads

Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

We are delighted to report that the “Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations” published in JAMA Surgery in August, 2019, have now received over 107,000 views/downloads since its release. Further to this, the manuscript has achieved an Altimetric attention score of 322, which makes it one of the top research outputs scored by this group. JAMA Surgery is the highest impact factor peer reviewed surgical journal, with an impact factor of 10.668, and this article was the most viewed manuscript in 2019.

We are pleased that our contribution has garnered so much attention from our peers in cardiac surgery, cardiac anesthesia, critical care, and nursing. We look forward to continuing to standardize best practice surrounding the perioperative care of cardiac surgical patients through expert consensus, review of the literature, and open communication.

Congratulations to the ERAS® CARDIAC Board of Directors and Authors

Letter from the ERAS Society Chairman – Reviewing 2019 and Previewing 2020

Chairman: Professor Olle Ljungqvist

2019 – Thank you all for another great ERAS® Society year

It is with great happiness and pride that I can summarize that 2019 has been yet another year of great developments for ERAS® and the ERAS® Society.

This year the ERAS® Society Guidelines surpassed 4,000 citations in PubMed, and when these guidelines are put in use, several reports from different surgeries also show that both short- and long-term outcomes improve. The interest in ERAS® is mirrored by the number of ERAS® publications that are constantly growing; up from around 40 15 years ago to over 600 in the last year. ERAS® makes a big difference in outcomes and this is why ERAS® is a top subject in surgery and anesthesia.

The ERAS® Society is very active in a range of different areas, and I am proud to mention just a few highlights that have been accomplished by a large number of great leaders, experts and collaborators around the globe:

Guidelines: This year ERAS® Society Guidelines broke records in downloads in JAMA Surgery (highest impact journal in surgery) with the Guideline on Cardiac Surgery, and the update of the Colorectal Guideline was a big hit. We were also happy to have just released the Guideline on Hip and Knee replacement surgery on-line. This year the Society also published a guideline for ERAS® Society Guidelines outlining the history behind them and how they have developed into the methodology used currently.

Joining forces: During 2019 we established and strengthened bonds with major Anesthesia Societies – the Brazilian and the European Societies of Anaesthesiology. With these two prominent Societies we will be able to bring the true ERAS® to many more hospitals globally.

Implementation worldwide: Several countries in LATAM are joining the ERAS® Society and ERAS® LATAM, and in countries already with Centers of Excellence present, we are seeing them now training other hospitals in their countries. In Brazil a total of seven new hospitals are engaged in an ERAS® Implementation Program with the ambition to spread it across the country in a collaborative manner with the Brazilian Society of Anesthesiology. In the US, Mayo Clinic and Brigham and Women’s Hospital are now trained as Centers of Excellence and starting to help other units implement ERAS® across the USA. In Asia the first hospital in India is in training, as is the first in Dubai, with more countries joining early next year; Taiwan and Thailand are next in line to follow Singapore, Philippines and Vietnam. In Europe new units across the continent are being trained and in South Africa plans are laid out for spreading ERAS® inside and outside the country.

Congresses and meetings: This year’s main event was the 7th ERAS® World Congress successfully run with ERASUK in Liverpool, UK. An excellent program was held over 3 days with almost 600 delegates from over 70 countries. The 1st ERAS®ASIA congress was held in Singapore to meet the growing interest and demand for ERAS® in this part of the world. More than 200 delegates covering most countries in Asia made this returning event a huge success. In addition, numerous ERAS® sessions and presentations have been part of just about every major international and national congress around the world; many of these presentations are delivered and sessions organized by ERAS® Society members and collaborators. Lastly, in several countries national ERAS® Society Chapters have held congresses and events.

What is in line for 2020?

Next year’s main event will be the 8th ERAS World Congress, in collaboration with ERAS®USA in New Orleans, USA August 26-28. Several local or regional events will take place across the globe – keep an eye on the ERAS® Society website for updates. The ERAS® Society Textbook will be released by Springer, USA during the first quarter of 2020. The title is: Enhanced Recovery After Surgery – A Complete Guide to Optimizing Outcomes. The textbook has 65 chapters written by world leaders in ERAS®, covering all you need to know about ERAS®.

The ERAS® Society will launch a formal membership early next year. Membership will provide a series of benefits in addition to being part of an international multi-professional and multi-disciplinary medical society that is changing the course of surgery and anesthesia: – On line subscriptions to 4 leading journals: World Journal of Surgery, European Journal of Anaesthesiology, Current Opinion in Anesthesiology, and Current Opinion in Critical Care – ERAS® Society textbook: Discounted price on the textbook (released during the 2st quarter of 2019) from Springer – all you need to know about ERAS® – 65 chapters, written by world leading authors. – Congress fee rebate: Reduced registration at the 8th World Congress in New Orleans. Details to be announced on the website shortly.

Guidelines: new and updated guidelines are under way for 2021 Let me thank all of the excellent collaborators and co-workers involved in the ERAS® Society who have made these tremendous successes possible and who have dedicated their precious time and knowledge to help move ERAS® forward with the goal to improve outcomes for patients. I wish all of you the very best for the holidays and the New Year. It has been an honor and privilege to serve as the Chairman of this formidable group of people working for the ERAS®Society.

Sincerely,

Olle Ljungqvist

Chairman ERAS® Society Executive Committee

A WORLDWIDE SURVEY LOOKING AT PANCREATODUODENECTOMY

PAIN MANAGEMENT, FLUID THERAPY, AND THROMBOPROPHYLAXIS FOLLOWING PANCREATODUODENECTOMY: A WORLDWIDE SURVEY

The benefits of enhanced recovery protocols are clearly established. However, little is known about different practices of enhanced recovery protocols following pancreatic surgery around the globe.

The aim of this survey study is to assess perioperative practices among surgeons and anaesthetists regarding pain management, fluid therapy, and thromboprophylaxis in patients undergoing pancreatoduodenectomy.

We invite you to fill out a short survey (~5 min) as part of our study. Please fill out the complete survey once:

https://eraspancreas.limequery.com/921335?lang=en

 

Many thanks on behalf of the study group,

J.V. Groen, R.G. Hanna Sawires, E. AlEassa, M. Adham, C.H.C. Dejong, C.H. Martini, J. Vuyk, A. Dahan, B.A. Bonsing, A.L. Vahrmeijer, M.G. Besselink, N. Pecorelli, T. Hackert, T. Ishizawa, T. Miller, J. Samra, A. Sauvanet, G. Morris-Stiff, J.S.D. Mieog

Save the date! 8th ERAS Society World Congress, New Orleans, 26-28 August 2020

Save the date! The ERAS Society and the ERAS Society USA Chapter would like to invite you to attend the 8th ERAS Society World Congress to be held jointly with the 4th ERAS USA Congress, in New Orleans, 26-28 August 2020.

The conference details and programme will be announced over the coming months but we are delighted to announce the invited speakers for the prestigious Henrik Kehlet and Ken Fearon lectures.

The Ken Fearon Lecture – Professor Sanjeev Arora, MD, MACP, FACG, Professor of Medicine, Department of Internal Medicine, University of New Mexico School of Medicine.

The Henrik Kehlet Lecture – Professor Carol Peden, BSc(Med Sci), MB ChB, MD, FRCA, FFICM, FFMLM, MPH, Professor of Anesthesiology, University of Southern California in Los Angeles

1st ERAS Asia Congress 2019, Singapore

The inaugural ERAS Asia Congress took place over 26-28th September 2019 in Singapore. Kicking off with a pre-congress workshop and a site visit to Tan Tock Seng Hospital, an ERAS Centre Of Excellence since 2016, the congress opened to more than 250 participants from across 17 countries worldwide.

Over 2 days of insightful talks by international and regional experts, the participants and faculty engaged in interactive discussions and sharing of ERAS experiences. Highlights of the Congress included updates on ERAS protocol and global developments, patient experience sharing, and an Asia Pacific experts panel discussion. The Congress ended on a high with regional ERAS leads making a commitment to collaborate and advance ERAS practices within their own countries and the region, with efforts culminating at ERAS Asia Congress in Manila In 2021!

Video – ERAS in Head And Neck Cancer: An International Update

Merran Findlay, Executive Research Lead – Cancer Nutrition and Oncology Specialist Dietitian (Sydney, Australia) sat down with three international experts to gain their insights and experiences in implementing Enhanced Recovery After Surgery (ERAS) in head and neck cancer.

Featuring Professor Olle Ljungqvist (Örebro University, Sweden), Professor Joseph Dort (University of Calgary, Canada) and Professor Leah Gramlich (University of Alberta, Canada).

 

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 published ERAS guidelines.

Information and registration 

Chile – 1st Meeting of ERAS in Thoracic Surgery – Programme

Chile – 1st Meeting of ERAS in Thoracic Surgery – Flyer

 

 

Skaraborgs Sjukhus Skövde, Sweden, awarded The Golden Scalpel for their work in ERAS

Lars Johansen, Consultant Surgeon, Eleonora Ingmarsson, Assistant Nurse and Thomas Karlberg, Anaesthetic Nurse.

Congratulations to the ERAS team from Skaraborgs Sjukhus Skövde who were awarded the prestigious Swedish medical price, the Guldskalpellen (The Golden Scalpel), for their introduction and maintenance of their ERAS program. A great achievement in a hard competition with over 30 other nominees. The annual prize is given for the best innovation that has improved the quality of care for patients.

The ERAS® Society becomes a Specialist Society member of the European Society of Anaesthesiology

 At the recent scientific annual meeting of the European Society of Anaesthesiology (ESA) in Vienna, Austria, the Board of Directors of the ESA decided that the ERAS® Society will become a Specialist Society member of the European Society of Anaesthesiology.

With more the 9,700 full members and more than 20,000 associate members, the European Society of Anaesthesiologist is the second largest Anaesthesia Society globally and holds the most prominent position in the community of anaesthesiologist in Europe and elsewhere. The mission of the European Society of Anaesthesiologist is to promote the professional role of anaesthesiologists, to improve perioperative patient outcomes by focusing on the quality of care, patient safety strategy and scientific research.

The objective of this international collaboration is to define joint strategies to promote perioperative care worldwide 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. The ERAS® Society is asked to submit one or two session proposals for presentation at the scientific annual meeting of the European Society of Anaesthesiology annual ESA congress.

The members of the ERAS® Society will be offered many benefits as part of their membership of the European Society of Anaesthesiology. The Societies will cross announce events of joint interest thereby reaching many more professionals.

We are looking forward to this new international collaboration.
Hans de Boer and Olle Ljungqvist

Report on the 7th ERAS® World Congress

The 7th ERAS® Society World Congress was held at The Arena and Convention Centre Liverpool, UK, from 1 – 3 May 2019. It was held jointly with its UK Chapter, ERAS UK, as their 9th ERAS® UK Conference.

Enjoying the iconic city of Liverpool, the Congress was very successful in attracting 523 registrations  worldwide, with the majority (over 60%) from Europe, but with significant numbers from Asia (20%) and North America (12%) as shown in the table below.

CONTINENT NUMBERS
Europe 325
Asia 103
North America 61
Africa 14
Oceania 7
South America 9

 

There were large numbers of local (UK) delegates and in addition it was encouraging to see that both China and United States supporting the congress in large numbers as well several other European Countries as shown in the table below.

COUNTRY NUMBERS
United Kingdom 162
China 52
United States 49
Sweden 30
Netherlands 21
Denmark 17
Switzerland 15
Saudi Arabia 13
Canada 11
Germany 11

 

Whilst not quite surpassing last year’s record numbers in Stockholm (585) the figures are still much higher than other previous Congresses in Lyon in 2017 (393), Lisbon in 2016 (389) and  Washington  in 2015 (492) – which was a combined meeting with EBPOM and ASER. These figures reflect a sustained interest for ERAS worldwide.

We also had 104 posters presentations (102 last year) with 6 best abstracts selected for oral presentation and 7 rapid fire abstracts accepted. All are published in Clinical Nutrition ESPEN 2019;31:1-146 with a link to the abstracts published here.

The Pre-congress programme (Wednesday 1st May) has now become a packed day with four parallel streams running.  The ever-popular ERAS® half day course where delegates learnt about the relevant pathophysiology and perspectives from different healthcare professionals – surgeon, anaesthetist  and nursing experts. However in addition there were other speciality-specific sessions with a full day 2nd ERAS® Society World Congress in paediatrics and low income countries, as well as sessions on cardiac, orthopaedics, urology, gynaecology and nursing & AHP.

The Scientific Programme began on Thursday 2nd May and following addresses by both the ERAS® Chairman Professor Olle Ljungqvist progress on the new ERAS® Society Textbook was presented. Professor Nader Francis (Congress President), delivered the Presidential Address “The Global Perspective of Recovery”.  

Much of the day focussed on improving outcomes, an interactive session on the post anaesthetic care unit, inflammation, pain, and cutting edge advances with an undoubted highlight  being The Henrik Kehlet lecture, brilliantly delivered by Professor David Jayne from Leeds, UK, entitled “Does New Technology Improve Surgical Outcomes?” In addition, it is uplifting to see high ongoing high quality new research, with presentations of the best six abstracts.

The final day, Friday 3rd May, focussed on patient partnership,  “where are the problems? ” and current dilemmas. A popular session was “whose patient is it anyway” with two surgeons and two anaesthetists debating with a blend of intellect and humour a topical issue. The prestigious Ken Fearon Lecture entitled “Reducing Variation to Improve Outcome” given by Professor Rupert Pearse from London, UK, was a fantastic analysis of the importance of consistent care. Six excellent rapid-fire presentations were also delivered.

 

The congress ended with presentation of prizes as follows:

Rapid fire prize (€200):
OR09 – R Pickens – Vertical Compliance: A novel method of reporting patient specific ERAS compliance for real-time risk assessment

Best oral presentations:

First prize (€500)

OR02 – K Rollins Goal directed fluid therapy using trans oesophageal Doppler in patients undergoing elective colorectal surgery: A meta-analysis of randomised controlled trials.

Second prize (€300)

OR01 – L Halliday Adherence to exercise during rehabilitation: The relationship with changes in fitness and post-operative pneumonia.

 

As always it is good to see familiar faces and meet new delegates. Of particular note is the fusion of new ideas, together with the friendliness and informality that enabled younger members to have a relaxed chat to some of our very well-known delegates.

Full details of the Congress and our sponsors can be found  here.  Also, follow us on twitter @ErasSociety, we have increased our followers by about 1000 from last year to nearly 2700. We had very good twitter activity with over 200 individuals sending over 1000 tweets and using #ERAS2019, in all reaching over a quarter of a million people! Finally keep an eye for photos from the Congress which will be posted on the website the coming months.

We offer our sincere thanks to all involved in the delivery of an outstanding meeting, in particular the Congress President Nader Francis and his organising Committee, as well as our organising committee, the speciality group chairs and the ERAS® executive committee. In addition, many thanks go to our sponsors and our excellent congress planers, MCI Suisse.

Already we are planning the 8th ERAS® World Congress and will update you all when the details are finalised. We can then very much look forward to welcoming you and your teams!

 

Professor  WJ Fawcett

May 2019