The Importance Of Enhanced Recovery After Surgery

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Enhanced recovery after surgery is an evidence based, multimodal pathway that is designed to decrease the stress on the patient through out their surgical journey. It focuses on improving the outcome of the patient after surgery, by taking additional steps to manage the patient before, during and after surgery. The longer a patient stays in the hospital post op, there is an increase risk to become susceptible to infections in this regard, the protocol serves as a guideline used to reduce the amount of the hospital stay with a goal of improving patient outcomes. ERAS focuses on educating the patient in the pre-operative period, maintaining good nutrition, decreasing the use of opioids, minimizing the use of tubes and drain and early …show more content…
A patient with poor nutrition has an increased risk of complications during the hospital stay. Many of the patients involved are commonly colorectal patients. These patients likely already have a nutritional deficiency and my require a combination of enteral and parenteral nutrition. Often in surgery the patient maintains an NPO status after midnight this is modified with the ERAS protocol. In the ERAS protocol it focuses on having an optimal patient before and after surgery. The fasting period can contribute to increase metabolic stress and a rise in blood sugar. The study shows that when patients were allowed food 6 hours before surgery and clear liquids 2 hours before their is no increase in complications(1). This practice improves and facilitates the patient in a quick and healthy recovery.( bring up opioids?) mechanical bowel prep is also avoided . Increase loss of electrolytes can cause dehydration and pose to be detrimental to the patient 's recovery. One study found that it was safe to avoid the use of MBP, furthermore use of the MBP was associated with an increase in anastomotic leakage, post op ileus and other …show more content…
It would eventually lead back to longer hospital stays, additional complications seen more often and an increase in the patients expense. I personally would like myself or family member to be a part of this protocol were I to have surgery. The benefits of enhanced recovery are hard to dismiss and the growing evidence suggest that this protocol should be considered for patients undergoing minimal incision surgeries. On the other hand, everyone involved in the care must take their part serious and understand the importance of team work, likewise be able to recognize when treatment may not be advancing according to plan and be able to alter

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