How do I Implement and Standardize ERAS Techniques in my hospital?

ERAS protocols have well established advantages in several disciplines—primarily in colorectal, breast and hepatobiliary surgery—with reduced perioperative stress, less organ dysfunction, and shortened post-operative recovery time.

ERAS protocols have also been safely implemented in bariatric patients to improve patient outcomes, reduce length of stay, and have fewer postoperative complications. Several of the individual ERAS components have been introduced in the setting of bariatric surgery, but reports are scarce.

We review the articles by Dutton et al, which showed an average length of stay after bariatric surgery and ERAS between 1.08 and 3.64 days. Complication rates were also reported.

There remains a substantial need for randomized controlled trials. Further research is also needed into a more comprehensive series of outcomes, pain control, and cost.