Also known as fast-track protocols or enhanced recovery after surgery (ERAS)1 protocols, the content of these specific proto-cols may vary significantly, but all are designed as a means to improve patient outcomes. For example, a critical aspect of the pathway is the engagement of patients and family members through education and shared responsibility for recovery. Whipple Procedure- ERAS Protocol 2 INTRAOPERATIVE PHASE 1. First line-Cefazolin 2Gm + Metronidazole 500 mg IV b. ERAS strategies are employed from the time a surgeon decides to operate to after a patient is discharged following a procedure. ADMINISTER ANTIBIOTIC PROPHYLAXIS a. Protocols include avoiding prolonged fasting periods, using opioids sparingly and applying multiple methods to control pain. Enhanced Recovery Protocol After Reversal of Loop Ileostomy. A review of existing guidelines for Enhanced Recovery after Surgery, or Fast Track Surgery was conducted to obtain a comprehensive list of all interventions used in established guidelines. Background: Enhanced recovery after surgery (ERAS) represents an evidence-based multidisciplinary approach to perioperative management after major surgery that decreases complications and readmissions and improves functional recovery. January 2021; Authors: Zahid Mehmood. protocols are not intended for emergent cases, but components of them certainly could apply to the emergent/urgent patient. Important components of these protocols occur before, during, and after a procedure. If no epidural, give before skin incision b. SCD’s in place 3. Benefits of the Enhanced Recovery … OBTAIN U/A with Foley insertion 2. ADMINISTER VT PROPHYLAXIS a. Heparin 5000u SC after epidural placement. ERAS is a multimodal, multidisciplinary approach that utilizes evidence based medicine to inform best practices during the perioperative period. ERAS targets these areas through a multidisciplinary framework that seeks to standardize and unify patient care at all levels and time points within the patient care continuum. Welcome to the ERAS website for our department! We found that with the addition of anesthesia-related interventions, there was a decrease in transfusions and nausea. Enhanced recovery after surgery, or ERAS, is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery. This is the first study to investigate the effects of adding anesthesia ERAS components to an existing surgical ERAS protocol for radical cystectomy. 5,8 As an added benefit, ERAS protocols have resulted in significant decreases in perioperative opioid usage. As you may be aware, there currently exists a number of enhanced recovery after surgery (ERAS) protocols in our department. Spine surgery is a traditionally invasive intervention with an extended recovery phase and may benefit from ERAS protocol … ERAS interventions have led to a decrease in perioperative morbidity, a reduction in complications and readmission rates, and an improvement in patient rehabilitation and recovery. The Guidelines are published by the ERAS®Society and in some cases also as a joint effort with other medical societies such as The European Society for Clinical Nutrition and Metabolism (ESPEN) and the International Association for Surgical Metabolism and Nutrition (IASMEN), part of the … Enhanced Recovery After Surgery. We then conducted a systematic review of each individual ERAS intervention to assess the supporting evidence. ERAS requires close teamwork among surgeons, anesthesia providers and nurses. 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