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Enhanced recovery after surgery: implementing a new standard of surgical care

2019/04/28 by Alon D. Altman, Limor Helpman, Jacob McGee +5
Medicine · #Anesthesia and Pain Management #Cardiac, Anesthesia and Surgical Outcomes #Enhanced Recovery After Surgery

paper · pdf · doi:10.1503/cmaj.180635

openalex publication_date 2019/04/28 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30

Abstract

nhanced recovery after surgery (ERAS) is an evidencebased and multidisciplinary perioperative care pathway and a surgical quality improvement initiative, which has been shown to promote patient mobilization, reduce complication rates after surgery, decrease hospital length of stay and reduce costs, if carefully implemented. There is an increasing interest across Canada to implement enhanced recovery after surgery recommendations. 1 Several Canadian institutions have succeeded in implementing an official ERAS protocol. However, it can be challenging to start such a program 2 because it requires multidisciplinary effort and the buy-in of many stakeholders. Because the ERAS approach has been shown to decrease the stress of surgery 3 through its objective to maintain patients' normal physiology as far as possible, any patient undergoing surgery could benefit from the approach.

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