Challenges and opportunities in enhanced recovery after surgery programs: An overview
Enhanced Recovery After Surgery (ERAS) programs were developed as evidence-based, multi-disciplinary interventions in all the perioperative phases to minimise the surgical stress response, reduce complications, and enhance outcomes. The results across various surgical procedures have been positive,...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Indian Journal of Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/ija.ija_546_24 |
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| author | Vijaya Gottumukkala Girish P. Joshi |
| author_facet | Vijaya Gottumukkala Girish P. Joshi |
| author_sort | Vijaya Gottumukkala |
| collection | DOAJ |
| description | Enhanced Recovery After Surgery (ERAS) programs were developed as evidence-based, multi-disciplinary interventions in all the perioperative phases to minimise the surgical stress response, reduce complications, and enhance outcomes. The results across various surgical procedures have been positive, with a reduction in medical complications, a reduction in length of hospital stay, and a reduction in care costs without increased re-admission rates. However, implementation for many institutions has not been easy and suboptimal at best. The robust and pervasive adoption of these programs should be based on effective change management, dynamic and engaged clinical leadership, adherence to the principles of continuous quality improvement programs, and the adoption of evidence-based and data-driven changes in pathway development and implementation. Rapid cycle, randomised/quasi-randomised quality improvement projects must be the core foundation of an ERAS program. Finally, research methodologies should focus on controlling for adherence to the core elements of the pathways and testing for the effectiveness of an individual intervention in a randomised controlled trial. |
| format | Article |
| id | doaj-art-341481c5ce60493ab8c4dac38b9f5869 |
| institution | Kabale University |
| issn | 0019-5049 0976-2817 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj-art-341481c5ce60493ab8c4dac38b9f58692025-01-24T15:12:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172024-11-01681195195810.4103/ija.ija_546_24Challenges and opportunities in enhanced recovery after surgery programs: An overviewVijaya GottumukkalaGirish P. JoshiEnhanced Recovery After Surgery (ERAS) programs were developed as evidence-based, multi-disciplinary interventions in all the perioperative phases to minimise the surgical stress response, reduce complications, and enhance outcomes. The results across various surgical procedures have been positive, with a reduction in medical complications, a reduction in length of hospital stay, and a reduction in care costs without increased re-admission rates. However, implementation for many institutions has not been easy and suboptimal at best. The robust and pervasive adoption of these programs should be based on effective change management, dynamic and engaged clinical leadership, adherence to the principles of continuous quality improvement programs, and the adoption of evidence-based and data-driven changes in pathway development and implementation. Rapid cycle, randomised/quasi-randomised quality improvement projects must be the core foundation of an ERAS program. Finally, research methodologies should focus on controlling for adherence to the core elements of the pathways and testing for the effectiveness of an individual intervention in a randomised controlled trial.https://journals.lww.com/10.4103/ija.ija_546_24enhanced recovery after surgerymachine learningperioperative medicineperioperative researchsurgical complications |
| spellingShingle | Vijaya Gottumukkala Girish P. Joshi Challenges and opportunities in enhanced recovery after surgery programs: An overview Indian Journal of Anaesthesia enhanced recovery after surgery machine learning perioperative medicine perioperative research surgical complications |
| title | Challenges and opportunities in enhanced recovery after surgery programs: An overview |
| title_full | Challenges and opportunities in enhanced recovery after surgery programs: An overview |
| title_fullStr | Challenges and opportunities in enhanced recovery after surgery programs: An overview |
| title_full_unstemmed | Challenges and opportunities in enhanced recovery after surgery programs: An overview |
| title_short | Challenges and opportunities in enhanced recovery after surgery programs: An overview |
| title_sort | challenges and opportunities in enhanced recovery after surgery programs an overview |
| topic | enhanced recovery after surgery machine learning perioperative medicine perioperative research surgical complications |
| url | https://journals.lww.com/10.4103/ija.ija_546_24 |
| work_keys_str_mv | AT vijayagottumukkala challengesandopportunitiesinenhancedrecoveryaftersurgeryprogramsanoverview AT girishpjoshi challengesandopportunitiesinenhancedrecoveryaftersurgeryprogramsanoverview |