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Publication Date
7-2022
Disclaimer
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.
Objective of the Care Process Model
The objectives for the Colorectal Surgery ERAS pathway are to minimize the variation of care for the patient undergoing colorectal surgery starting with the pre-admission testing visit through hospital discharge. This includes preoperative nutrition/metabolism optimization, decreasing adverse medication side effects such as opiate induced ileus and PONV, promotion of earlier return of bowel function, improving wound and anastomotic healing, and reducing overall hospitalization length of stay. In the last several decades the application of ERAS principles has shown significant improvements in various surgeries regarding length of stay, opioid use, pain control, and return to diet (Fearon 2005, Thiele 2014, Liu 2017).
Target Users
Anesthesiologists; Colorectal Surgeons; Colorectal nurses
Disciplines
Pediatrics
Recommended Citation
Children's Mercy Kansas City, "Colorectal Surgery Enhanced Recovery After Surgery (ERAS)" (2022). Clinical Pathways.
https://scholarlyexchange.childrensmercy.org/care_models/63
