Evidence-based Clinical Care: Enhanced Recovery After Surgery (ERAS)

Enhanced Recovery After Surgery (ERAS) is an evidence-based, multimodal pathway developed to provide standardized care that improves patient outcomes after major surgery. Enhanced recovery pathways are well-defined perioperative programs applying evidence-based interventions in a protocol-like manner designed to standardize the care of the surgical patient in order to improve results and to reduce overall costs including earlier discharge from the hospital after surgery.

Target Audience

Anesthesiologists, Anesthesia Assistants, Surgeons, Physician Assistants, Certified Registered Nurse Anesthetists, Nurses, Advanced Practice Registered Nurses, Pharmacists, Pharmacy Technicians and Allied Health Professionals.

Learning Objectives

  • Explain evidence supporting ERAS as a best practice. 
  • Implement ERAS pathways leveraging a multidisciplinary team approach to improve patient care. 
Additional information
Bibliography: 

Olle Ljungqvist et al: Enhanced Recovery after Surgery A Review: JAMA Surgery 2017 152(3):292-298

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery. Thiele et al. Perioperative Medicine (2016) 5:24

Practice guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. American Society of Anesthesiologists Task Force on Preoperative Fasting the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology 2017; 126:376

Madani et al: Effectiveness of tamsulosin in prevention of post-operative urinary retention: a randomized double-blind placebo-controlled study. Int Braz J Urol.2014;40:30-6

Available Topics

Surgical Options for the Treatment of the Morbidly Obese

Learn more about surgical options for the treatment of morbid obesity with Dr. Anthony M. Gonzalez, Medical Director of Bariatric Surgery, South Miami Hospital and Chief of Surgery, Baptist Hospital of Miami.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
Course opens: 
02/24/2021
Course expires: 
02/29/2024

AUTHOR

Luis A. de la Cruz, M.D., MBA
Cardiothoracic Anesthesiology and Intensive Care
Director of Education, Department of Anesthesiology
Baptist Hospital of Miami
Clinical Assistant Professor of Anesthesiology and Medicine
FIU Herbert Wertheim College of Medicine

Evidence-Based Clinical Care  (EBCC) Reviewers

Bianca Capella, APRN-BC
Corporate Clinical Consultant
Evidence-Based Clinical Care
Baptist Health South Florida

Suzy Monzon, MSN, R.N., CAPA
Patient Care Supervisor
Post Anesthesia Care Unit & Pain Treatment Center
Surgical Services
Baptist Hospital of Miami

Luis A. de la Cruz, M.D., MBA, author, indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies.

Bianca Capella, APRN-BC, EBCC reviewer, indicated that neither she nor her spouse/partner has relevant financial relationships with commercial interest companies.

Suzy Monzon, MSN, R.N., CAPA, EBCC reviewer, indicated that neither she nor her spouse/partner has relevant financial relationships with commercial interest companies.

Non-faculty contributors, instructional designers and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
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