J Korean Med Assoc.  2021 Dec;64(12):801-805. 10.5124/jkma.2021.64.12.801.

Background for the introduction of enhanced recovery after surgery and patient outcomes

• Park DJ

• KMID: 2523436
• DOI: http://doi.org/10.5124/jkma.2021.64.12.801

Abstract

Background
To facilitate early postoperative recovery of surgical patients, various efforts have been made to develop effective treatment methods since 1990; moreover, these efforts have not been limited to surgical techniques and include multiple aspects of the entire treatment process. Enhanced recovery after surgery (ERAS) is a surgical quality improvement project that has advanced substantially since it was first introduced in 1995 and has now been firmly established in the field of perioperative care.
Current Concepts
ERAS consists of many components that cover each stage before, during, and after surgery, and its clinical application changes according to the results of evidence-based research for each item. To date, more than 20 ERAS guidelines have been created for each disease, and more guidelines are expected in the future. Many studies have reported that ERAS is associated with meaningful improvements in clinical outcomes and reductions of medical costs in many surgical fields.
Discussion and Conclusion
ERAS remains a work in progress, and continuous research and improvement is needed in relation to the components, areas of application, audit of compliance and results, education, and a multidisciplinary approach.

Keyword

Enhanced recovery after surgery; Perioperative care; Treatment outcome; 수술 후 회복 향상; 수술전후기 관리; 치료 성과