ERAS protocol (Enhanced recovery after surgery)

We, at Dr Gadgil’s Clinic, are strong believers of ERAS i.e. Enhanced Recovery After Surgery and hence try and implement the internationally approved ERAS protocols pertinent to individual surgeries.

The chief goals of ERAS protocols are:

• Decreased length of stay
• Reductions in recovery times
• Decreased number of blood transfusions
• Decreased IV fluid administration

The implementation of protocols start much prior to actual surgery.

Pre Surgery:

• Patient education and in depth counselling
• Building up general condition, protein status, weight optimization

Intra Surgery:

• Optimal fluid management
• Judicious use of opioid pain killers
• Use of minimal access approach at all possible times
• Careful consideration of administration of blood products
• Avoidance of nasal tubes, urinary catheters and drains

Post Surgery:

• Early ambulation
• Early removal of tubes, if any
• Early resumption of oral feeds
• Early discontinuation of iv medications and fluids
• Minimalistic and accurate take-home prescription

Outcomes:

• Increased patient satisfaction
• Decreased operative times and length of stay
• Minimal preoperative complications
• Optimal use of hospital and patient resources