Successful 1st Singapore ERAS symposia

img_6313Tan Toc Seng Hospital hosted the 1st ERAS Society symposia in Singapore attracting more than 200 participants. The TTSH team has completed the ERAS Society Implementation Program with successful outcomes and is in the planning to start offering this training to other units in Singapore and the region. These results of this training also made headlines in the local press. For more information about upcoming actions in ERAS locally, please click here

2017 ERAS Alberta Symposium


We’re pleased to announce the 2017 ERAS Alberta Symposium agenda, which is packed with local and international ERAS clinical experts. The ERAS Alberta 2017 Symposium is hosted by the Surgery Strategic Clinical Network, Alberta Health Services (AHS) to facilitate local, national and international Enhanced Recovery After Surgery (ERAS) best practices.

Join your colleagues for stimulating discussions and presentations on Friday, January 27 and Saturday, January 28 for interactive discussions and high caliber presentations from leading international, national and local experts.

To register, go to


Liver Surgery and Bariatric Surgery Guidelines now on ERAS Society website

You can now access the full text articles for the ERAS Society guidelines for Liver and Bariatric Surgery via our website.

New ERAS Society Head and Neck guidelines published

Optimal Perioperative Care in Major Head and Neck Cancer Surgery With Free Flap Reconstruction A Consensus Review and Recommendations From the Enhanced Recovery After Surgery Society

The ERAS Society is proud to announce the publication of:

Optimal Perioperative Care in Major Head and Neck Cancer Surgery With Free Flap Reconstruction A Consensus Review and Recommendations From the Enhanced Recovery After Surgery Society.

You can read and/or download the guidelines here

You can read and/or download a commentary here


Professor Ken Fearon

Ken Fearon

It is with great sadness that the ERAS Society announce the sudden and tragic death of Professor Ken Fearon, Co-founder and Chairman of the ERAS Society Board.  

He was an inspiration to us all: a brilliant academic, teacher and lecturer but above all a warm, generous and kind man. We will miss him sorely, and we send our deepest condolences to his family.

Please click here to read and/or download an obituary written by Professor Olle Ljungqvist and Professor Dileep Lobo to be published in the journal Clinical Nutrition.

Finalisation of the ERAS Implementation Program in Charlotte, North Carolina, USA

img_9083The final seminar of the ERAS implementation program was held on 13th July 2016, at CMC in Charlotte NC. After eight months of intensive work, the team of Prof. Iannitti under the supervision of Dr. Vrochides was certified as ERAS Center of Excellence. The quality of the work performed during this implementation was outstanding and announces a very fruitful scientific and human collaboration, and will allow further implementation of ERAS in the United States of America.


The people in the picture are (from left to right):

Dr. Dionisis Vrochides, MD PhD, ERAS leader
Garth McClune, Nurse Manager
Prof. Nicolas Demartines, CHUV-Lausanne-Switzerland
Mrs Kendra Tezber, Clinical Nurse
Valérie Addor, ERAS Coach, CHUV-Lausanne-Switzerland
Cesar Aviles, Nurse Practitioner Specialist
Mrs Allyson Cochran, MSPH, Clinical Research Data Manager

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.