Enhanced: Difference between revisions

Latest revision as of 03:39, 13 February 2025

Enhanced Recovery After Surgery (ERAS)[edit]

Enhanced Recovery After Surgery (ERAS) protocols aim to improve patient outcomes.

Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery. The ERAS protocol is based on evidence-based practices that aim to reduce the surgical stress response, maintain postoperative physiological function, and accelerate recovery.

History[edit]

The concept of ERAS was first introduced in the late 1990s by Professor Henrik Kehlet, a Danish surgeon, who recognized the need for a comprehensive approach to perioperative care. The ERAS Society was later established to promote research and education in this field.

Key Components[edit]

ERAS protocols encompass several key components that span the entire surgical journey, from preoperative to postoperative care. These components include:

Preoperative Care[edit]

Patient Education: Informing patients about the surgical procedure, expected outcomes, and recovery process.
Nutritional Optimization: Ensuring patients are nutritionally prepared for surgery, often including carbohydrate loading.
Prehabilitation: Encouraging physical activity and exercises to improve fitness before surgery.

Intraoperative Care[edit]

Minimally Invasive Techniques: Utilizing laparoscopic or robotic surgery to reduce tissue trauma.
Anesthetic Management: Employing regional anesthesia and multimodal analgesia to minimize opioid use.
Fluid Management: Maintaining euvolemia to prevent fluid overload or deficit.

Postoperative Care[edit]

Early Mobilization: Encouraging patients to ambulate soon after surgery to prevent complications such as deep vein thrombosis.
Early Oral Nutrition: Promoting early intake of oral fluids and food to enhance gut function.
Pain Management: Using non-opioid analgesics and regional techniques to control pain.

Benefits[edit]

ERAS protocols have been shown to reduce hospital length of stay, decrease postoperative complications, and improve patient satisfaction. By focusing on a holistic approach to surgical care, ERAS aims to enhance recovery and reduce healthcare costs.

Challenges[edit]

Implementing ERAS protocols can be challenging due to the need for multidisciplinary collaboration and adherence to guidelines. Variability in practice and resistance to change can also hinder the adoption of ERAS.

Future Directions[edit]

Research continues to refine and expand ERAS protocols, with a focus on personalized medicine and the integration of new technologies. The future of ERAS may involve tailoring protocols to individual patient needs and incorporating digital health tools.

Related Pages[edit]

@@ Line 1: / Line 1: @@
-'''Enhanced''' is a term often used in the medical field to refer to the improvement or augmentation of a certain aspect of health or medical treatment. This can refer to a wide range of enhancements, from the use of technology to improve patient care, to the development of new drugs or therapies to treat disease.
+== Enhanced Recovery After Surgery (ERAS) ==
-== Overview ==
+[[File:Enhanced.jpg|thumb|right|Enhanced Recovery After Surgery (ERAS) protocols aim to improve patient outcomes.]]
-The concept of enhancement in medicine is not new. For centuries, doctors and scientists have been seeking ways to improve the human condition, whether through the development of new treatments, the improvement of existing ones, or the use of technology to improve patient care. Today, the term "enhanced" is often used to refer to these efforts.
+Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery. The ERAS protocol is based on evidence-based practices that aim to reduce the surgical stress response, maintain postoperative physiological function, and accelerate recovery.
-== Types of Enhancement ==
+== History ==
-There are many different types of enhancement in medicine. Some of the most common include:
+The concept of ERAS was first introduced in the late 1990s by Professor [[Henrik Kehlet]], a Danish surgeon, who recognized the need for a comprehensive approach to perioperative care. The ERAS Society was later established to promote research and education in this field.
-* '''[[Drug Enhancement]]''': This refers to the development of new drugs or therapies to treat disease. This can include the use of [[genetic engineering]] to create new drugs, or the use of [[nanotechnology]] to deliver drugs more effectively.
+== Key Components ==
-* '''[[Technological Enhancement]]''': This refers to the use of technology to improve patient care. This can include the use of [[medical imaging]] to diagnose disease, or the use of [[robotic surgery]] to perform complex procedures.
+ERAS protocols encompass several key components that span the entire surgical journey, from preoperative to postoperative care. These components include:
-* '''[[Physical Enhancement]]''': This refers to the use of medical interventions to improve physical capabilities. This can include the use of [[prosthetics]] to replace lost limbs, or the use of [[gene therapy]] to enhance physical performance.
+=== Preoperative Care ===
-== Ethical Considerations ==
+* '''Patient Education''': Informing patients about the surgical procedure, expected outcomes, and recovery process.
+* '''Nutritional Optimization''': Ensuring patients are nutritionally prepared for surgery, often including carbohydrate loading.
+* '''Prehabilitation''': Encouraging physical activity and exercises to improve fitness before surgery.
-While enhancement in medicine has the potential to greatly improve patient care, it also raises a number of ethical questions. These include issues of [[equity]] and [[access]], as well as questions about the limits of human enhancement.
+=== Intraoperative Care ===
-== See Also ==
+* '''Minimally Invasive Techniques''': Utilizing laparoscopic or robotic surgery to reduce tissue trauma.
+* '''Anesthetic Management''': Employing regional anesthesia and multimodal analgesia to minimize opioid use.
+* '''Fluid Management''': Maintaining euvolemia to prevent fluid overload or deficit.
-* [[Medical Technology]]
+=== Postoperative Care ===
-* [[Medical Ethics]]
-* [[Healthcare Innovation]]
-== References ==
+* '''Early Mobilization''': Encouraging patients to ambulate soon after surgery to prevent complications such as deep vein thrombosis.
+* '''Early Oral Nutrition''': Promoting early intake of oral fluids and food to enhance gut function.
+* '''Pain Management''': Using non-opioid analgesics and regional techniques to control pain.
-<references />
+== Benefits ==
-[[Category:Medicine]]
+ERAS protocols have been shown to reduce hospital length of stay, decrease postoperative complications, and improve patient satisfaction. By focusing on a holistic approach to surgical care, ERAS aims to enhance recovery and reduce healthcare costs.
-[[Category:Healthcare]]
-[[Category:Technology]]
-{{stub}}
+== Challenges ==
+Implementing ERAS protocols can be challenging due to the need for multidisciplinary collaboration and adherence to guidelines. Variability in practice and resistance to change can also hinder the adoption of ERAS.
+== Future Directions ==
+Research continues to refine and expand ERAS protocols, with a focus on personalized medicine and the integration of new technologies. The future of ERAS may involve tailoring protocols to individual patient needs and incorporating digital health tools.
+== Related Pages ==
+* [[Surgery]]
+* [[Anesthesia]]
+* [[Postoperative care]]
+* [[Minimally invasive surgery]]
+[[Category:Medical procedures]]
+[[Category:Surgery]]