Do you ERAS?  You should! ERAS protocols have resulted in shorter length of hospital stay reduced complications, readmissions and costs. This month on COG we talk to  Dr Amanika Kumar, a Gynaecological Oncologist from the Mayo Clinic about Enhanced Recovery After Surgery. Then we check out three articles in journal club along the ERAS theme.

1. Nensi A, Coll-Black M, Leyland N, Sobel ML. Implementation of a Same-Day Discharge Protocol Following Total Laparoscopic Hysterectomy. Journal of Obstetrics and Gynaecology Canada. 2018 Jan 1;40(1):29-35.
2. Meyer LA, Lasala J, Iniesta MD, Nick AM, Munsell MF, Shi Q, Wang XS, Cain KE, Lu KH, Ramirez PT. Effect of an Enhanced Recovery After Surgery Program on Opioid Use and Patient-Reported Outcomes. Obstetrics & Gynecology. 2018 Aug 1;132(2):281-90.
3. Keil DS, Schiff LD, Carey ET, Moulder JK, Goetzinger AM, Patidar SM, Hance LM, Kolarczyk LM, Isaak RS, Strassle PD, Schoenherr JW. Predictors of Admission After the Implementation of an Enhanced Recovery After Surgery Pathway for Minimally Invasive Gynecologic Surgery. Anesthesia and analgesia. 2018 Apr.

Also here’s the link to a new publication on recommendations for ERAS in CS…

Caughey AB, Wood SL, Macones GA, Wrench IJ, Huang J, Norman M, Pettersson K, Fawcett WJ, Shalabi MM, Metcalfe A, Gramlich L. Guidelines for intraoperative care in Cesarean Delivery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. American journal of obstetrics and gynecology. 2018 Aug 15.

#COG #COG11 #ERAS #FOAMEd #MayoClinic