ERAS Flashcards
What is the goal of Enhanced Recovery After Surgery (ERAS)?
To help patients recover quicker after surgery by reducing post-surgical complications, length of hospital stay, and overall costs.
What are the key focuses of ERAS?
Patient engagement, pre-surgical medical optimisation, optimal anaesthetic protocols, and postoperative nausea prophylaxis.
What are some surgical strategies used in ERAS?
Minimally invasive surgery, avoiding dehydrating bowel preparation, early removal of drains and catheters, and early post-operative mobilisation.
What is the importance of patient education in ERAS?
It helps patients understand the surgery, expected post-operative milestones, and prepares them mentally for recovery.
What lifestyle changes are recommended before surgery under ERAS?
Exercise, weight loss, smoking cessation, and alcohol cessation.
What are the pre-operative fasting guidelines in ERAS?
Solids allowed until 6 hours before surgery. Clear fluids allowed until 2 hours before surgery.
What is the purpose of loading with a 12.5% carbohydrate beverage pre-operatively?
To enhance bowel recovery and maintain energy levels before surgery.
What type of analgesia is preferred in ERAS?
Multimodal and opioid-sparing analgesia, including regional anaesthesia.
What types of regional anaesthesia are commonly used?
Spinal and epidural anaesthesia, rectus sheath catheters, and local anaesthetic regional blocks.
What is the fluid management strategy during surgery in ERAS?
Goal-directed fluid therapy and haemostasis management.
Why should short-acting benzodiazepines be avoided in elderly patients during surgery?
To reduce the risk of postoperative confusion and delirium.
What is the role of pain control in post-operative recovery?
Adequate pain control allows for early mobilisation, which is critical for recovery.
When is early oral intake recommended after surgery?
As soon as possible to optimise nutrition and recovery.
How does ERAS promote patient motivation during recovery?
By providing booklets with daily targets and realistic goals for patients to achieve.
What are the primary benefits of ERAS?
Reduced post-surgical complications, shorter hospital stays, and lower overall costs.
