{"id":2788,"date":"2016-03-12T18:30:00","date_gmt":"2016-03-12T23:30:00","guid":{"rendered":"https:\/\/med-anesthesiology.sites.unc.edu\/enhancedrecovery\/overview\/components-of-enhanced-recovery-2\/"},"modified":"2017-10-27T13:42:45","modified_gmt":"2017-10-27T17:42:45","slug":"components-of-enhanced-recovery-2","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/anesthesiology\/enhancedrecovery\/overview\/components-of-enhanced-recovery-2\/","title":{"rendered":"Basics of Enhanced Recovery"},"content":{"rendered":"<p><!-- portlet_header --><\/p>\n<p><!-- portlet_above --><\/p>\n<p><!-- description --><\/p>\n<p class=\"lead\">\n<h2 class=\" \">Components of Enhanced Recovery<\/h2>\n<p class=\" \">Enhanced recovery after surgery, or ERAS, is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery. Important components of these protocols occur before, during and after a procedure.<\/p>\n<h3 style=\"text-align: center\"><span class=\"img-rounded dropShadow\"><img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/anesthesiology\/wp-content\/uploads\/sites\/470\/2017\/10\/components-of-enhanced-recovery.jpeg\" alt=\"Enhanced recovery after surgery, or ERAS, is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery. Important components of these protocols occur before, during and after a procedure.\" class=\"image-inline\" title=\"Components of Enhanced Recovery\" \/><\/span><\/h3>\n<h2>Benefits of the Enhanced Recovery Programs<\/h2>\n<p>Enhanced Recovery programs have been shown to be more safe and effective relative to traditional care.  Many studies have demonstrated that in addition to a decreased length of stay, the implementation of Enhanced Recovery protocols are associated with either decreased or invariable morbidity and mortality.  One area of primary concern for any surgical procedure is inadequate pain management.  Studies have found that Enhanced Recovery protocols can facilitate the optimization of postoperative analgesia.  Specifically, protocols that have incorporated spinal anesthesia with intrathecal morphine have seen a decreased patient reliance on systemic opioids during the postoperative phase. <\/p>\n<p> <span style=\"line-height: 1.43em\">Another important aspect of Enhanced Recovery protocols is their ability to either accelerate the return of organ function or prevent their decline.  Considerable evidence exists demonstrating a reduction in the duration of ileus, as well as the prevention of pulmonary function decline during postoperative recovery for patients who have undergone Enhanced Recovery protocols. Optimal recovery of the musculoskeletal system, in the form of improved muscle function, improved physical strength<\/span><span style=\"line-height: 1.43em\"> <\/span><span style=\"line-height: 1.43em\">and preserved lean body mass and exercise performance are also well described benefits of Enhanced Recovery pathways.  Compared with traditional management, ERAS pathways have the potential to improve patient quality of life in both the immediate and long term post-surgical periods.  Factors such as earlier resumption of normal activities, reduced need for daytime sleep, reduced fatigue, and reduced number of days that patients require sick leave<\/span><span style=\"line-height: 1.43em\"> <\/span><span style=\"line-height: 1.43em\">have all been reported in patients for which ERAS was implemented.   <\/span><\/p>\n<p><span class=\"img-rounded dropShadow\"><br \/><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Components of Enhanced Recovery Enhanced recovery after surgery, or ERAS, is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery. Important components of these protocols occur before, during and after a procedure. Benefits of the Enhanced Recovery Programs Enhanced Recovery programs have &hellip; <a href=\"https:\/\/www.med.unc.edu\/anesthesiology\/enhancedrecovery\/overview\/components-of-enhanced-recovery-2\/\" aria-label=\"Read more about Basics of Enhanced Recovery\">Read more<\/a><\/p>\n","protected":false},"author":7474,"featured_media":0,"parent":2277,"menu_order":39,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"featured-item":[],"class_list":["post-2788","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Basics of Enhanced Recovery | Department of Anesthesiology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/enhancedrecovery\/overview\/components-of-enhanced-recovery-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Basics of Enhanced Recovery | Department of Anesthesiology\" \/>\n<meta property=\"og:description\" content=\"Components of Enhanced Recovery Enhanced recovery after surgery, or ERAS, is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery. Important components of these protocols occur before, during and after a procedure. 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