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The document outlines the Enhanced Recovery After Surgery (ERAS) protocol, which is a multimodal perioperative care pathway aimed at improving recovery for patients undergoing major surgery. It details the objectives and focuses on pre-operative, intra-operative, and post-operative care strategies to reduce hospital stay, complications, and healthcare costs. Key interventions include patient education, minimally invasive techniques, early mobilization, and effective pain management.

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2 views

Presentation 4 (1)

The document outlines the Enhanced Recovery After Surgery (ERAS) protocol, which is a multimodal perioperative care pathway aimed at improving recovery for patients undergoing major surgery. It details the objectives and focuses on pre-operative, intra-operative, and post-operative care strategies to reduce hospital stay, complications, and healthcare costs. Key interventions include patient education, minimally invasive techniques, early mobilization, and effective pain management.

Uploaded by

pankajmishrajhapa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Enhanced Recovery

After Surgery
[ERAS]
-RAKESH YADAV
[40]
❑ Objectives:

❖To describe Pre-Operative Care


❖To describe Intra-Operative Care
❖To describe Post-Operative Care
Introduction:

➢ Definition : Multimodal perioperative care pathway designed


to achieve Early Recovery for Patients undergoing Major
Surgery
➢ Aims : - Hospital stay {30-50%}
- Post-operative complications
- Costs of Health Care Systems
➢ Focuses on : Pre- , Intra- & Post-Operative Care
[A] Pre-Operative Care:

1)Patient's Education & Councelling


2)Pre-operative Carbohydrate loading;
Solid food fasting= 6 hrs before surgery
Liquid food fasting= 2hrs before surgery
3)Prehabilitation ;
Physical,Nutritional & Psychological status
[B] Intra-Operative Care
1)Minimally Invasive techniques when possible
2)Goal – Directed fluid Therapy
3)Anaesthesia : Propofol reduces Risk of Post- operative
Nausea & Vomiting
4)Normothermia Maintainance [>/= 36 degree Celsius]
[C] Post-Operative Care

1)Early Mobilization reduces adverse physiological effects of


Prolonged bed Rest
2)Early Feeding -reduces infectious complications
-Enhances Recovery
3)Pain Management Avoid Opioids & Apply Multimodal
analgesia[Paracetamol, NSAIDS] with
Epidural / Spinal analgesia when
indicated.
Case Example :
A 65 years old undergoing Colorectal Surgery follows an
ERAS Protocol. What are the key interventions ?
References:
-ERAS Society
-Bailey & Love's Short Practice of Surgery , 28th edition

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