Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were...

BACKGROUND There is strong evidence for the use of Enhanced Recovery After Surgery (ERAS) protocol with colorectal surgery. However, in most studies on ERAS, patients with stage IV colorectal cancer (CRC) are commonly excluded. It is not certain if the ERAS protocol combined with laparoscopy improves outcomes in this group of patients as well. The aim of the study is to assess the feasibility o...

UNLABELLED BACKGROUND The enhanced recovery after surgery (ERAS) programme is a multimodal evidence-based approach to surgical care which begins in the preoperative setting and extends through to patient discharge in the postoperative period. The primary components of ERAS include the introduction of preoperative patient education; reduction in perioperative use of nasogastric tubes and drai...

Enhanced recovery after surgery (ERAS) programs have been shown to decrease postoperative complications and hospital stay in pancreaticoduodenectomy. However, no studies concerned recovery after discharge except readmission. This study evaluated an ERAS program for pancreaticoduodenectomy from hospital to home.A prospective ERAS cohort undergoing elective pancreaticoduodenectomy was compared wi...

Background: Enhanced recovery after surgery (ERAS) program is widely used because its advantage in reducing the length of hospital stay (LOS) and morbidity rate. Patients have suffered great benefits in colonic surgery, gastric cancer surgery and liver surgery. But in pancreatic surgery, the efficacy of ERAS program remains controversial. This study aimed to gain a current, comprehensive pictur...

To assess the safety and efficacy of enhanced recovery after surgery (ERAS) as compared with the traditional care in patients undergoing liver surgery and optimization of enhanced recovery programs.Literature, until August 2016, was searched to identify the comparative studies evaluating preoperative hospital stay time, complications, and C-reactive protein (CRP). Pooled odds ratios (OR) or wei...

Results Mean post-operative length of stay was significantly reduced in the ERAS group, 4.05 (SD 1.43) days compared to 5.4 (SD 1.17) days in the non-ERAS group (p = 0.003). There were no hospital or Intensive Care Unit (ICU) readmissions in either group. Mean ICU length of stay was 1 night in both groups. There was no mortality in either group. The rate of re-operation for bleeding was slightl...

As is detailed elsewhere in this issue, enhanced recovery pathways integrate evidence-based best practices across the spectrum of perioperative care. Although interventions in the operating room and in the postoperative ward are important for improving postoperative outcomes in enhanced recovery after surgery (ERAS®) pathways, an ERAS® approach for preoperative care is equally important for ach...

This paper presents the findings from an exploratory in-depth case study with regard to eReverse Auctions (eRAs) in the UK public sector. These findings highlight that eRAs can improve procurement processes, realise cost savings and reduce delivery times. The research also notes that eRAs can produce dis-benefits, including poor buyer and supplier relationships and social implications. The pape...

BACKGROUND The Enhanced Recovery After Surgery (ERAS) programme is an approach to the perioperative care of patients which aims to improve outcomes and speed up recovery after surgery. Although the evidence base appears strong for this programme, the implementation of ERAS has been slow. This study aimed to gain an understanding of the facilitating factors and challenges of implementing the pro...