National Leaders in Enhanced Recovery After Surgery

UNC CaringThis page is the official website of the Enhanced Recovery After Surgery ("ERAS") Program at UNC Chapel Hill. 

Enhanced Recovery After Surgery is a collaborative, multidisciplinary initiative between the departments of anesthesiology and surgery to improve the perioperative care of patients at UNC.

First implemented in July 2014, the program now positively impact over 1,000 patients a year.

Check out our recent news to the right and most recent publications below!

UNC's Growing Contributions to the Field of Enhanced Recovery After Surgery:
9/2017 Journal of Cardiothoracic and Vascular Anesthesia: Defining Value-Based Care in Cardiac and Vascular Anesthesiology: The Past, Present, and Future of Perioperative Cardiovascular Care Kolarczyk, L., Arora, H., Manning, M., Zvara, D., Isaak, R., Defining Value-Based Care in Cardiac and Vascular Anesthesiology: The Past, Present, and Future of Perioperative Cardiovascular Care. Journal of Cardiothoracic and Vascular Anesthesiology, In Press Oct 19, 2017
7/2017 Revista Mexicana de Anestesiología: Enhanced recovery for thoracic surgery David A Zvara, MD, FAHA Jul 07, 2017
4/2017 ASER: Development of a Novel Enhanced Recovery After Surgery Pathway for Major Lower Extremity Amputation Sara Scarlet, MD, Lavinia Kolarczyk, MD, Robert Isaak, DO, Katharine L. McGinigle, MD MPH. "Development of a Novel Enhanced Recovery After Surgery Pathway for Major Lower Extremity Amputation." American Society for Enhanced Recovery Annual Meeting. April 2017. Abstract poster presentation. Washington DC. Apr 01, 2017
4/2017 ASER: Preoperative Mental Health Optimization in an ERAS Pathway Leads to Increased Rate of Same-Day Discharge for Laparoscopic Hysterectomy Patients Hance LM, Goetzinger A, Patidar S, Schoenherr J, Kolarczyk L, Isaak R, Keil D, Michael L, Carey E, Schiff L, Moulder J. "Preoperative Mental Health Optimization in an ERAS Pathway Leads to Increased Rate of Same-Day Discharge for Laparoscopic Hysterectomy Patients." American Society for Enhanced Recovery Annual Meeting. April 2017. Abstract poster presentation. Washington DC. Apr 01, 2017
4/2017 ASER: Development of a Web-Based Smartphone App: A Sustainable Measure to Enable Accessibility of Pathway Details Prasad R, Hance L, Khullar L, Kolarczyk L, Isaak R. "Development of a Web-Based Smartphone App: A Sustainable Measure to Enable Accessibility of Pathway Details" American Society for Enhanced Recovery Annual Meeting. April 2017. Abstract poster presentation. Washington DC. Apr 01, 2017
4/2017: SCA 6th Annual Thoracic Anesthesia Symposium Frangopoulos CM, Kidd BJ, Hance L, Michael LC, Long JM, Haithcock BE, Teeter EG, Kolarczyk LM. “Analgesic techniques for a thoracic enhanced recovery pathway: Intercostal blocks provide equivocal analgesia and shorter length of stay compared to thoracic epidurals.” Society of Cardiovascular Anesthesiologists 39th Annual Meeting. April 2017. Scientific abstract poster presentation. Orlando, Florida. Feb 01, 2017
4/2017: Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference 2017 Goins A, Strassle P, Ramm CJ, Teeter EG, Smeltz AM, Caranasos TG, Vavalle JP, Kolarczyk LM. “Total intravenous anesthesia as compared to volatile anesthesia is associated with reduced length of stay after transcatheter aortic valve replacement: Results from two-year program at major academic medical center.” Scientific Abstract Poster Presentation. Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference 2017. Arlington, Virginia. Feb 01, 2017
4/2017: SCA Conference 2017 Allie Goins, BS; Alan Smeltz, MD; Cassandra Ramm, AGNP; Paula Strassle, MSPH; Emily Teeter, MD; Thomas Caranasos, MD; John P Vavalle, MD; Lavinia Kolarczyk, MD. “General anesthesia for transcatheter aortic valve replacement: Total intravenous anesthesia is associated with decreased hospital length of stay and a trend toward less delirium compared to volatile agent technique.” Scientific abstract poster presentation. Society of Cardiovascular Anesthesiologists 39th Annual Meeting. April 2017. Orlando, Florida. Feb 01, 2017
3/2017: Society of Surgical Oncology Annual Meeting Laks S, Kolarczyk LM, Strassle P, Isaak RS, Hance L, Kim HJ. Enhanced Recovery after Surgery (ERAS) for Pancreatectomy: Increased Intraoperative Vasopressor Use Does Not Increase Pancreatic Fistula Rates. Society of Surgical Oncology (SSO) Annual Cancer Symposium. March 15-18, 2017. Seattle, Washington. Jan 31, 2017
10/2016 Anesthesiology: Improved Immediate Postoperative Mental Status and Decreased PACU Times as a Result of an ERAS Clinical Pathway (Poster) Marino MR, Kirby HP, Specht BJ, Hance LM, Kim HJ, Isaak RS, Kolarczyk LM. Improved Immediate Postoperative Mental Status and Decreased PACU Times as a Result of an ERAS Clinical Pathway." Scientific Abstract Poster Presentation. American Society of Anesthesiologists Annual Meeting 2016. Chicago, Illinois. Oct 01, 2016
10/2016 Anesthesiology: Enhanced Recovery Clinical Pathway for Pancreatic Surgical Patients Decreases Unanticipated ICU Admissions (Poster) Specht BJ, Kirby HP, Marino MR, Hance LM, Kim HJ, Kolarczyk LM, Isaak RS. "Enhanced Recovery Clinical Pathway for Pancreatic Surgery Patients Decreases Unanticipated ICU Admission.” Scientific Abstract Poster Presentation. American Society of Anesthesiologists Annual Meeting 2016. Chicago, Illinois. Oct 01, 2016
10/2016 Anesthesiology: Enhanced Recovery Program (ERP) for thoracic surgical patients decreases PACU recovery time and opioid use Rohman TP, Judd BJ, Mayo KM, Hance LM, Burns C, Haithcock BE, Long JM, Isaak R, Teeter EG, Kolarczyk LM. "Enhanced Recovery Program (ERP) for thoracic surgical patients decreases PACU recovery time and opioid use.” Scientific Abstract Poster Presentation. American Society of Anesthesiologists Annual Meeting 2016. Chicago, Illinois. Oct 01, 2016
8/2016: American Journal of Cardiology Sola M, Ramm CJ, Kolarczyk LM, Teeter EG, Yeung M, Caranasos TG, Vavalle JP. Application of a Multidisciplinary Enhanced Recovery After Surgery Pathway to Improve Patient Outcomes After Transcatheter Aortic Valve Implantation. Am J Cardiol 2016 Aug 1; 118(3):418-23. Jul 01, 2016
2/2016 SDRP Journal of Anesthesia and Surgery: Implementation of an Enhanced Recovery After Surgery (ERAS) Clinical Pathway Using Lean Six Sigma Principles: A Framework for Ongoing Quality Improvement Kolarczyk LM, McNaull P, Hance LM, Bednar P, Kim HJ, Isaak R. "Implementation of an Enhanced Recovery After Surgery (ERAS) Clinical Pathway Using Lean Six Sigma Principles: A Framework for Ongoing Quality Improvement." SDRP Journal of Anesthesia & Surgery 1.1 (2016): 1-7. Web 22 Feb 2016. Feb 22, 2016
3/2016 European Urology: Enhanced Recovery after Urological Surgery: A Contemporary Systematic Review of Outcomes, Key Elements, and Research Needs Azhar RA, Bochner B, Catto J, et al. Enhanced Recovery after Urological Surgery: A Contemporary Systematic Review of Outcomes, Key Elements, and Research Needs. [Published online March 9, 2016]. Eur Urol. 2016. doi: 10.1016/j.eururo.2016.02.051. Feb 01, 2016
1/2016 Anesthesiology News: Perioperative ERAS Protocols Reduce Pancreatic Patients’ Length of Stay Jan 01, 2016
12/2015 Anesthesiology News: Clinical Pathway for Pancreatic Surgical Patients Lowers Transfusion Rates Dec 01, 2015
10/2015: Enhanced Recovery after Surgery (ERAS) clinical pathway for pancreatic surgical patients decreases unnecessary blood product administration (Abstract) Rohman TP, Kirby HP, Bialas R, Isaak RS, Hance LM, Kim HJ, Kolarczyk LM. Enhanced Recovery After Surgery (ERAS) for Pancreatic Surgery Decreases Unnecessary Blood Product Administration. American Society of Anesthesiologists Annual Meeting 2015. Oct 01, 2015
10/2015 Anesthesiology: Enhanced Recovery After Surgery (ERAS) Clinical Pathway for Patients Undergoing Pancreatic Surgery Decreases Hospital Length of Stay (Abstract) Kirby HP, Rohman TP, Isaak RS, Hance LM, Kim HJ, Kolarczyk LM. Enhanced Recovery After Surgery (ERAS) for Pancreatic Surgery Decreases Hospital Length of Stay. Published Abstract. Clark JD et al. Anesthesiology 2015; 123:750-758. Oct 01, 2015
12/2015 Urology: Radical Cystectomy Perioperative Care Redesign Urology 2015 Dec 14;86(6):1076-86. Epub 2015 Sep 14. Richard S Matulewicz, Jeffrey Brennan, Raj S Pruthi, Shilajit D Kundu, Chris M Gonzalez, Joshua J Meeks Sep 01, 2015
More…