ERAS protocol validation in a propensity-matched cohort of patients undergoing colorectal surgery

2018 ◽  
Vol 33 (11) ◽  
pp. 1543-1550 ◽  
Author(s):  
Riccardo Lemini ◽  
Aaron C. Spaulding ◽  
James M. Naessens ◽  
Zhuo Li ◽  
Amit Merchea ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Matched Cohort ◽  
Protocol Validation ◽  
Eras Protocol

scholarly journals 129 Compliance with The ERAS Protocol Amongst Colorectal Surgery Junior Doctors at Gloucester Royal Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
L Brennan
Keyword(s):  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Length Of Hospital Stay ◽  
Intravenous Fluid ◽  
Junior Doctors ◽  
Intravenous Fluids ◽  
Elective Colorectal Surgery ◽  
Royal Hospital ◽  
Elective Surgical Procedures ◽  
Eras Protocol

Abstract Background Enhanced recovery after surgery (ERAS) is an evidence-based protocol aiming to expedite recovery following elective surgical procedures. ERAS has shown to reduce the length of hospital stay, complications, readmissions, and costs. The junior doctor’s role in ERAS centres around admission, preoperative nutritional care, and ERAS compliance. This audit aimed to review prescribing of perioperative nutritional drinks (NutriciaPreop© and Fortisips) and intravenous fluids for patients undergoing elective colorectal surgery at Gloucester Royal Hospital. Method An 80% standard was set for this audit. A full audit cycle was completed. Drug and intravenous fluid charts were analysed for correct prescribing of NutriciaPreop© and intravenous fluids pre-operatively, and peri operative Fortisips. Improvement measures included ward posters and education to incoming junior doctors. Results Initial data collection showed that 70% of patients received a correct intravenous fluid prescription pre-operatively. 24% of patients were prescribed NutriciaPreop© and 18% were prescribed Fortisips. During re-auditing intravenous fluids were correctly prescribed in 80% of patients, NutriciaPreop© in 67% of patients and Fortisips in 60%. Conclusions This audit emphasises the importance of good quality inductions for junior doctors and how simple measures improve prescribing of essential peri-operative nutrition. Additionally, the value of multidisciplinary team involvement in junior doctor training has been highlighted.

Does complete implementation of the ERAS-protocol in colorectal surgery lead to better results? Results and pitfalls of implementation of all 23 elements of the ERAS-protocol

2019 ◽  
Vol 45 (2) ◽  
pp. e49
Author(s):  
B. Van Den Hengel ◽  
H. Smid-Nanninga ◽  
A.F.T. Olieman ◽  
L.S. Wagenaar ◽  
W. Kelder ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Eras Protocol

Su1693 ENDOSCOPIC SUBMUCOSAL DISSECTION VERSUS COLORECTAL SURGERY IN THE MANAGEMENT OF SUPERFICIAL COLORECTAL NEOPLASMS: A MATCHED COHORT COMPARATIVE STUDY

2019 ◽  
Vol 89 (6) ◽  
pp. AB382
Author(s):  
Ahmad Najdat Bazarbashi ◽  
Phillip S. Ge ◽  
Pichamol Jirapinyo ◽  
Thomas R. McCarty ◽  
Lolwa Al Obaid ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Comparative Study ◽  
Endoscopic Submucosal Dissection ◽  
Colorectal Neoplasms ◽  
Matched Cohort ◽  
Submucosal Dissection

scholarly journals Enhanced Recovery After Colorectal Surgery (ERAS) in Elderly Patients Is Feasible and Achieves Similar Results as in Younger Patients

2017 ◽  
Vol 3 ◽  
pp. 233372141770629 ◽  
Author(s):  
Håvard Mjørud Forsmo ◽  
Christian Erichsen ◽  
Anne Rasdal ◽  
Hartwig Körner ◽  
Frank Pfeffer
Keyword(s):  
Colorectal Surgery ◽  
Elderly Patients ◽  
Hospital Stay ◽  
Enhanced Recovery ◽  
Patient Adherence ◽  
Controlled Trial ◽  
Age Groups ◽  
Postoperative Hospital Stay ◽  
Younger Patients ◽  
Eras Protocol

Aim: Enhanced recovery after surgery (ERAS) is a multimodal approach that aims to optimize perioperative treatment. Whether elderly patients receiving colorectal surgery can adhere to and benefit from an ERAS approach is uncertain. The aim of this study was to compare patients in different age groups participating in an ERAS program. Method: In this substudy of a randomized controlled trial, we analyzed the interventional ERAS arm of adult patients eligible for laparoscopic or open colorectal resection with regard to the importance of age. Patients were divided into three groups based on age: ≤65 years ( n = 79), 66-79 years ( n = 56), and ≥80 years ( n = 19). The primary end point was total postoperative hospital stay (THS). Secondary end points were postoperative hospital stay, postoperative complications, postoperative C-reactive protein levels, readmission rate, mortality, and patient adherence to the different ERAS elements. All parameters and measuring the adherence to the ERAS protocol were recorded before surgery, on the day of the operation, and daily until discharge. Results: There were no significant differences in length of THS between age groups (≤65 years, median 5 [range 2-47] days; 66-79 years, median 5.5 [range 2-36] days; ≥80 years, median 7 [range 3-50] days; p = .53). All secondary outcomes were similar between age groups. Patient adherence to the ERAS protocol was as good in the elderly as it was in the younger patients. Conclusion: Elderly patients adhered to and benefited from an ERAS program, similar to their younger counterparts.

scholarly journals Implementation of an ERAS Pathway in Colorectal Surgery

2019 ◽  
Vol 32 (02) ◽  
pp. 102-108 ◽  
Author(s):  
Liliana Bordeianou ◽  
Paul Cavallaro
Keyword(s):  
Colorectal Surgery ◽  
Length Of Stay ◽  
Postoperative Care ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Standardized Protocol ◽  
Improve Hospital ◽  
Eras Protocol

AbstractEnhanced 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.

scholarly journals Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study

2016 ◽  
Vol 36 ◽  
pp. 377-382 ◽  
Author(s):  
Magdalena Pisarska ◽  
Michał Pędziwiatr ◽  
Piotr Małczak ◽  
Piotr Major ◽  
Sebastian Ochenduszko ◽  
...  
Keyword(s):  
Cohort Study ◽  
Colorectal Surgery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Laparoscopic Colorectal Surgery ◽  
Full Compliance ◽  
Eras Protocol

Relationship between outcomes and compliance to the ERAS protocol for colorectal surgery – A single institution experience

2018 ◽  
Vol 25 ◽  
pp. 205-209
Author(s):  
Yu Liang Lim ◽  
Qin Yi Lee ◽  
Vera Lim ◽  
Jonathan Tan ◽  
Hui Min Liu ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Single Institution ◽  
Eras Protocol

Implementation of ERAS protocol in elective colorectal surgery results in reduction in length of stay; discharge within 48 hours is feasible and safe

2019 ◽  
Vol 45 (2) ◽  
pp. e50
Author(s):  
B. Van Den Hengel ◽  
H. Smid-Nanninga ◽  
A.F.T. Olieman ◽  
L.S. Wagenaar ◽  
W. Kelder ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Length Of Stay ◽  
Elective Colorectal Surgery ◽  
Eras Protocol

scholarly journals Patient Satisfaction and Quality of Life with Enhanced Recovery Protocols

2019 ◽  
Vol 32 (02) ◽  
pp. 138-144 ◽  
Author(s):  
Debbie Li ◽  
Christine Jensen
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Future Research ◽  
Widespread Implementation ◽  
Recovery Protocols ◽  
Eras Protocol

AbstractWhile studies have demonstrated the benefits of Enhanced Recovery after Surgery (ERAS) programs in reducing length of stay and costs without increasing complications, fewer studies have evaluated patient satisfaction and quality of life (QOL) with enhanced recovery protocols. The aim of this project was to summarize the literature comparing satisfaction and quality of life after colorectal surgery following treatment within an ERAS protocol to standard postoperative care. The available evidence suggests patients suffer no detriment to satisfaction or quality of life with use of ERAS protocols, and may suffer less fatigue and return to activities sooner. Most publications reported no adverse effects on postoperative pain. However, a limited number of studies suggest patients may experience increased early postoperative pain with ERAS pathways, particularly following open colorectal procedures. Future research should focus on potential improvements in ERAS protocols to better manage postoperative pain. Overall, the evidence supports more widespread implementation of ERAS pathways in colorectal surgery.

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