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ERAS Nutrition Strategies for Recovery

This document discusses Enhanced Recovery After Surgery (ERAS), a multimodal perioperative care program that aims to expedite recovery through evidence-based best practices. ERAS is associated with reduced length of stay, complication rates, analgesia use, and costs while improving patient comfort and satisfaction. The document outlines key ERAS interventions and principles, benefits of implementation, how to establish an ERAS team and protocols, the role of optimized nutrition, and an example of one institution's ERAS components.

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Hendry Dimas
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171 views15 pages

ERAS Nutrition Strategies for Recovery

This document discusses Enhanced Recovery After Surgery (ERAS), a multimodal perioperative care program that aims to expedite recovery through evidence-based best practices. ERAS is associated with reduced length of stay, complication rates, analgesia use, and costs while improving patient comfort and satisfaction. The document outlines key ERAS interventions and principles, benefits of implementation, how to establish an ERAS team and protocols, the role of optimized nutrition, and an example of one institution's ERAS components.

Uploaded by

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

Nutrition issues in Gastroenterology,

series #151

ENHANCED RECOVERY AFTER


SURGERY
ADITYA J NANAVATI, SUBRAMANIAM
PRABHAKAR

Read by Dr. Achmad Harri Kuncoro


ERAS definition Single program with multimodal
interventions in the peri-operative period to expedite
recovery fast surgery

Associated with reduced :


length of stay
Complication rates
Use of analgesia
Costs for patients
Increased patients comfort and satisfaction
Interventions in ERAS
How does it work
Basic principles behind ERAS is
succesfully delivering surgical care with
minimum deviation from normal physiology
With implemented ERAS a graph is likely
to show an early recovery
How does it work
Why implement ERAS
When implemented succesfully,
associated with 35-40% reduction in
length of hospital stay
Compared to conventional care, ERAS is
associated with better quality of life
outcomes
28-32% fall in health care costs incurred
ERAS compare with
Conventional care
ERAS compare with
Conventional care
How is it implemented
Should consist formations such as
Surgical, anesthesia, nursing, nutritionist,
physical and occupational therapist
Each member is expected to communicate
the role in the program
Once formulated, written protocols mut be
made available to all those involved
Nutrition in ERAS
Consultation and evaluation by a
nutritionist is preferable and should be
followed by advice to meet objective
dietary goals
Pre operative > keep starvation time to a
minimum
2 hour fast for liquids and 6 hour fast for
solids > oral carbohydrate drinks 2 hours
before surgery
Nutrition in ERAS
Operative > minimal tissue handling,
selective use of drains and catheter,
directed fluid therapy, minimizing use
opioid.
Post operative > initiating oral/ enteral
nutrition early, epidural catheter insertion
of analgesia
Goals Nutrition in ERAS
Example one institution
component ERAS protocol
Conclusion

Hospital stay

Without re- Patients


admissions satisfaction

Rate of
complications

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