[Introduction of enhanced recovery after surgery (ERAS) protocols: reducing 3.4 days of postoperative hospital stay]

Kyoko Tagawa, Dai Shida, Hidemasa Takahashi, Takeo Suzuki
Masui. the Japanese Journal of Anesthesiology 2012, 61 (4): 373-8

BACKGROUND: Enhanced recovery after surgery (ERAS) protocols aim to improve patient care, reducing complication rates, and shortening hospital stay following colorectal surgery in Europe. In cooperation with colorectal surgeons, ERAS protocols were initially introduced in our hospital to the patients undergoing open colorectal resection in July 2010.

METHODS: Length of postoperative hospital stay was compared of 139 consecutive patients undergoing open colorectal resection before (n = 96) and immediately after implementing ERAS (n = 43).

RESULTS: In the ERAS group, length of postoperative hospital stay was significantly reduced from 12.7 +/- 7.7 to 9.3 +/- 6.2 days (P < 0.0001). Oral intake, one of important ERAS elements, both before and after surgery had dramatically changed, implying tolerance of ERAS protocol in Japan.

CONCLUSIONS: We, anesthesiologists as perioperative physicians, can improve key elements of perioperative care such as patients' counseling, perioperative analgesia and early mobilization by collaboration with surgeons and nurses, to facilitate postoperative recovery.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"