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Medical Letter (Medletter)
2024, Volume 2, Issue 4 : 1-7
Research Article
Enhanced Recovery After Surgery (ERAS) Protocols: Improving Surgical Outcomes Through Evidence-Based Perioperative Care
Sarah Mitchell
1
 ,
Jonathan Reed
2
 ,
Emily Thompson
3
1
Department of General Surgery, Global Institute of Surgical Sciences, Boston, USA
2
Department of Anesthesiology and Perioperative Medicine, International Medical Research Centre, London, UK
3
Department of Clinical Outcomes Research, European University Hospital, Berlin, Germany
Abstract

Enhanced Recovery After Surgery (ERAS) protocols represent a multidisciplinary, evidence-based approach to perioperative care designed to reduce surgical stress, accelerate recovery, decrease complications, and shorten hospital stays. Since their introduction in colorectal surgery, ERAS pathways have expanded across numerous surgical specialties.

Objective

This study reviews the principles, components, clinical outcomes, benefits, challenges, and future directions of ERAS protocols in modern surgical practice.

Methods

A narrative review of literature published between 2015 and 2025 was conducted. Studies evaluating ERAS implementation, patient outcomes, healthcare costs, and perioperative interventions across surgical specialties were analyzed.

Results

ERAS protocols significantly reduce postoperative complications, length of hospital stay, opioid consumption, and healthcare costs. Early mobilization, optimized nutrition, multimodal analgesia, and standardized perioperative care contribute to improved patient outcomes. Compliance with ERAS pathways is strongly associated with enhanced recovery and reduced morbidity.

Conclusion

ERAS protocols have transformed perioperative care by integrating evidence-based interventions throughout the surgical journey. Widespread implementation and adherence can substantially improve patient outcomes and healthcare efficiency.

 

Keywords
Enhanced Recovery After Surgery
ERAS
Perioperative Care
Surgical Recovery
Multimodal Analgesia
Patient Outcomes
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