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There has been a tremendous culture shift in the perioperative care of surgical patients with the introduction of enhanced recovery after surgery (ERAS), championed by Henik Kehlet, MD.1 Kehlet and colleagues reported a reduction in the length of stay (LOS) and complications in patients undergoing complex colorectal surgery by implementing a multidisciplinary approach to perioperative care focused on reducing the physiologic stress of surgery. Key tenets included patient education, a multimodal pain strategy limiting opiates, early ambulation, and early feeding to hasten recovery.2 The authors reported LOS of 2 days. These results were almost unbelievable and quite provocative. However, this work has been replicated with numerous high-quality, randomized control trials and meta-analysis comparing ERAS to standard perioperative care. Results have consistently shown a decrease in LOS, reduction in complications, and no increase in 30 day readmissions.3,4 Although the original studies concentrated on colon and rectal surgery, the application of ERAS has expanded to almost every other discipline of surgery.

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Research > Preliminary Report
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