ERAS

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ERAS

ERAS (pronounced /ɪˈræz/), an acronym for Enhanced Recovery After Surgery, is a protocol for surgical patient management aimed at improving recovery following surgical procedures.

Etymology

The term ERAS was first used in medical literature in the late 1990s. It is derived from the English words "Enhanced", "Recovery", "After", and "Surgery".

Definition

ERAS is a multimodal, multidisciplinary approach that uses evidence-based practices to improve the recovery process after surgical procedures. It involves a team of anesthesiologists, surgeons, nurses, and other healthcare professionals working together to reduce the physical and psychological stress of surgery on the patient.

Components of ERAS

The ERAS protocol includes several components, such as:

  • Preoperative counseling: This involves educating the patient about the surgery, the recovery process, and the importance of their role in their own recovery.
  • Optimization of nutrition: This includes ensuring the patient is well-nourished before surgery, and may involve the use of nutritional supplements.
  • Standardized anesthetic protocols: These are designed to minimize the use of opioids, which can slow recovery.
  • Early mobilization: This involves getting the patient moving as soon as possible after surgery to prevent complications such as deep vein thrombosis and pneumonia.
  • Multimodal analgesia: This involves using a combination of different types of pain relief to minimize the use of opioids and improve pain control.

Related Terms

  • Perioperative care: This is the care that is given before, during, and after surgery. It is a key component of the ERAS protocol.
  • Postoperative care: This is the care given after a surgical procedure. The ERAS protocol includes specific guidelines for postoperative care to improve recovery.
  • Preoperative care: This is the care given before a surgical procedure. The ERAS protocol includes specific guidelines for preoperative care to prepare the patient for surgery and improve recovery.

External links

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