J Korean Med Assoc.  2021 Dec;64(12):826-832. 10.5124/jkma.2021.64.12.826.

Perception and implementation status of enhanced recovery after surgery

• Kim EY

• KMID: 2523440
• DOI: http://doi.org/10.5124/jkma.2021.64.12.826

Abstract

Background
The enhanced recovery after surgery (ERAS) program that is being implemented in Korea is difficult to investigate because it is not a standardized protocol with a unified content, and it instead differs according to the details for each hospital. Herein, the author would like to introduce and analyze the results of a recently conducted large-scale survey on the current status and perception of the ERAS program in Korea among large domestic hospitals.
Current Concepts
Surveys of domestic general surgeons in 2019 and hepatobiliary-pancreatic surgeons in 2020 both showed lower-than-expected response rates of less than 50% in questions related to perception and clinical implementation of the ERAS program. Thus, implementation of ERAS items related to the limited application of preoperative fasting and surgical drain insertion and active nutritional support before and after surgery remains low.
Discussion and Conclusion
For surgeons in Korea, the implementation of ERAS programs and perception levels were low. In this regard, it is necessary to improve awareness through systematic education and promotion of the ERAS program, and supplementation of related multidisciplinary professional manpower and financial resources is essential to facilitate practical implementation of ERAS programs in clinical practice.

Keyword

Enhanced recovery after surgery; Surgeons; Surveys; 수술 후 회복 향상; 외과의사; 설문조사