The vast majority of ERAS programmes are focused on purely elective surgery. This study focusses on the common emergency operation, appendicitis.
What this paper adds:
In this small RCT patients were randomised into 2 groups (ERAS vs standard care). With the exception for the pre-admission elements, this was a fairly comprehensive ERAS programme. They demonstrated an impressively short length of stay (a mean of only 9.7 hours to discharge, compared to 23.2 hours in the standard group). There was a reduced time to resume diet and a reduced incidence of moderate to severe pain scores postoperatively (28% vs 62%). There was no difference in complications, reoperations and importantly readmissions.
The influence of peri-operative factors for accelerated discharge following laparoscopic colorectal surgery when combined with an enhanced recovery after surgery (ERAS) pathway. Chand M, De’Ath HD, Rasheed S, Mehta…