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Review
. 2021 Dec;35(4):479-489.
doi: 10.1016/j.bpa.2020.10.001. Epub 2020 Oct 10.

Enhanced recovery after surgery: Current status and future progress

Katie E Rollins  1 , Dileep N Lobo  2 , Girish P Joshi  3
Affiliations
Review

Enhanced recovery after surgery: Current status and future progress

Katie E Rollins et al. Best Pract Res Clin Anaesthesiol. 2021 Dec.

Abstract

Enhanced Recovery After Surgery (ERAS) pathways were first introduced almost a quarter of a century ago and represent a paradigm shift in perioperative care that reduced postoperative complications and hospital length of stay, improved postoperative quality of life, and reduced overall healthcare costs. Gradual recognition of the generalizability of the interventions and transferable improvements in postoperative outcomes, led them to become standard of care for several surgical procedures. In this article, we critically review the current status of ERAS pathways, address related controversies, and propose measures for future progress.

Keywords: enhanced recovery after surgery; hospital length of stay; perioperative care.

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Conflict of interest statement

Declaration of competing interest KER has no conflicts of interest to declare. DNL has received unrestricted research funding from B. Braun and speaker's honoraria from Fresenius Kabi, B. Braun, Shire, and Baxter Healthcare for unrelated work. He is also the Chair of the Scientific Committee of the ERAS® Society. GPJ has received honoraria from Baxter Pharmaceuticals and Pacira Pharmaceuticals.

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