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

Related 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 ABA MOCA II
  • 1.00 ABS MOC II
  • 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 for this educational activity, has no relevant financial relationship with ineligible companies* to disclose.

Bianca Capella, APRN-BC, EBCC reviewer, has no relevant financial relationship with ineligible companies* to disclose.

Suzy Monzon, MSN, R.N., CAPA, EBCC reviewer, has no relevant financial relationship with ineligible companies* to disclose.

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

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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.

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM(MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

image

American Board of Surgery - Maintenance of Certification (MOC) -  Accredited CME- General Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.00 ABA MOCA II
  • 1.00 ABS MOC II
  • 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
Please login or register to take this course.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome		Microsoft Edge
Microsoft Edge		Safari
Safari		Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.