The Philippines – 1st National ERAS Congress


On September 8, 2016, The Medical City (TMC) hosted the country’s 1st National ERAS Congress at the Augusto M. Barcelon Auditorium, Pasig, Metro Manila.  Conducted by the ERAS Team of the hospital and supervised by the ERAS Society, the congress was a huge success with more than 400 delegates attending.

Attendees were a mix of surgeons, anaesthetists, nurses, dietitians, and other healthcare professionals, including hospital administrators, from all over the archipelago, many with the intention of possibly implementing ERAS in their respective institutions. The Congress boasted an excellent faculty headed by Prof. Olle Ljungqvist of Sweden, and speakers representing the only two ERAS Centres of Excellence in Asia – The Medical City in Manila and Tan Tock Seng Hospital in Singapore.

Key management and quality assurance leaders of TMC were included in the programme, and also participating in the Congress were partners in industry with interest in ERAS who gave significant support for the TMC ERAS Team’s endeavors to educate and train other hospitals in the ERAS pathway.  These companies were carefully selected by Congress organizers as being in line with the principles and protocols of ERAS, particularly with their products.

Free ERAS in Gynaecology Webinar

To access a free ERAS in Gynaecological Oncology webinar on the topic of Post Surgical Pain Management Techniques for Enhanced Recovery click here. The webinar is presented by Professor Sean Dowdy and Professor Pedro Ramirez.


New ERAS® Society Website

Eras logo 200Welcome, whether you are a patient or work in healthcare!

We are delighted to present our new website and hope that you like the updated design. We are very grateful to Javier Fabra from the University of Zaragoza, Spain for his excellent work as webmaster for the last five years and to introduce John Melkvist and his team as our new webmasters. We are also very pleased to welcome Tom Wainwright, Bournemouth, UK to our website editorial team. Tom brings a wealth of expertise to this role.

The new website may take a few weeks to be completed fully, as we continue to migrate from our old site to our new site. Whilst we have updated a lot of the existing links, we have numerous additions to the existing website including closer links to overseas websites and social media.

ERAS is growing rapidly around the world, with over a hundred units in over twenty different countries, with our recent Congress in Lisbon a huge success.

We would very much like feedback and ideas from you to enhance both the content, appearance and the overall experience of the website. Please let me know!

Dr Bill Fawcett

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!