Enhanced Recovery After Surgery (Eras) Are A Relatively

1681 WordsFeb 15, 20177 Pages
Enhanced recovery after surgery (ERAS) are a relatively new set of protocols arising in the 1990’s which have since been coined the gold standard in surgical patient care. They have been increasing adopted in because overall research has shown them to be a safe and cost effective way of reducing length of hospital stay and positive patient outcomes. ERAS protocols are threaded throughout the perioperative care, including pre, intra and post-operative phases. I will analysis two research papers which highlight the use of ERAS protocols and define a variety of protocols and focus on four ERAS protocols which are commonly used in surgical nursing. Literature search For preparation of this paper I explored the University of the Fraser…show more content…
Interestingly, the research showed that although there is variation in the way ERAS protocols are implemented, the outcomes were found to be similar. The study concluded that higher compliance of ERAS protocols was associated with reduced length of hospital stay (Amhed, Khan, Lim, Chandrasekaran, & MacFie, 2011) In the second article, by authors Morgan, Lancaster, Walters,Owczarski, Clark, McSwain, and Adams, a retrospective study was done to determine and compare the outcomes between groups of patients who had surgery before and after the ERAS protocols were implemented. The purpose was to determine the impact that the ERAS protocols were having with regards to patient safety and efficiency. The study highlighted pre, intra and postoperative elements of ERAS and concluded that ERAS protocols are safe and effective at reducing morbidity, length of stay and cost. (Morgan , et al., 2016) Analysis In analysing the literature behind ERAS protocols, I learned that there is no standardized set of protocols, however, ERAS is found to be a safe, efficient and cost affective method for perioperative care. Both studies highlight a multidisciplinary approach is key in the successful implementation of ERAS. Elements which are widely adopted for there effectiveness in the preoperative phase were omission of bowel preparation, carbohydrate loading and

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