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 Endometriosis ERAS pathway are to minimize the variation of care for the patients with a diagnosis of endometriosis undergoing surgery starting with and continuing through the referral to surgery, plan for pain management, pre-admission testing visit, and hospital discharge. This pathway includes preoperative assessment and evaluation of the severity of pain, the establishment of a pain management plan prior to surgery to be implemented post-op, nutrition/metabolism optimization, 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.
Gynecologists; Anesthesiologists; Pain Management Physicians; Nurses
Children's Mercy Kansas City, "Endometriosis ERAS" (2023). Clinical Pathways.