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Review
. 2019 Mar;32(2):102-108.
doi: 10.1055/s-0038-1676474. Epub 2019 Feb 28.

Implementation of an ERAS Pathway in Colorectal Surgery

Paul Cavallaro  1 , Liliana Bordeianou  1
Affiliations
Review

Implementation of an ERAS Pathway in Colorectal Surgery

Paul Cavallaro et al. Clin Colon Rectal Surg. 2019 Mar.

Abstract

Enhanced Recovery after Surgery (ERAS) protocols have been demonstrated to improve hospital length of stay and outcomes in patients undergoing colorectal surgery. This article presents the specific components of an ERAS protocol implemented at the authors' institution. In particular, details of both surgical and anesthetic ERAS pathways are provided with explanation of all aspects of preoperative, perioperative, and postoperative care. Evidence supporting inclusion of various aspects within the ERAS protocol is briefly reviewed. The ERAS protocol described has significantly benefitted postoperative outcomes in colorectal patients and can be employed at other institutions wishing to develop an ERAS pathway for colorectal patients. A checklist is provided for clinicians to easily reference and facilitate implementation of a standardized protocol.

Keywords: colorectal; enhanced recovery; protocol.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Mechanical and oral antibiotic bowel preparation instructions.
Fig. 2
Fig. 2
( A ) and ( B ). Enhanced Recovery after Surgery (ERAS) protocol checklist: This checklist provides an important clinical reference tool for physicians implementing an ERAS protocol, and contains all important aspects including preoperative care, perioperative anesthetic and surgical care, and postoperative management guidelines.
See this image and copyright information in PMC

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