The ERAS® Society was officially founded in Stockholm, Sweden in 2010 as a non-profit organisation. Its founding doctors are Ken Fearon, Olle Ljungqvist, Arthur Revhaug, Maartin von Meyenfeldt, and Cornelius de Jong.
There are more than 100 ERAS Centres worldwide, situated in the UK, Sweden, Switzerland, Norway, Denmark, Canada and New Zealand. The ERAS Centre at Matley & Partners, Cape Town, lead by Dr Ravi Oodit, is the first in Africa. Matley & Partners are working in collaboration with the colorectal unit at Groote Schuur Hospital and the University of Cape Town to establish the second centre.
To develop perioperative care and to improve recovery through research, audit education and implementation of evidence-based practice.
The ERAS Care Pathway
ERAS is a multimodal perioperative care pathway designed to achieve early recovery for patients undergoing major surgery.
ERAS represents a paradigm shift in perioperative care in two ways:
First, it re-examines traditional practices, replacing them with evidence-based best practices when necessary
Second, it is comprehensive in its scope, covering all areas of the patient”s journey through the surgical process
The ERAS Pathway
The Care Pathway was developed by the ERAS® Society as a set of guiding principles and methods that can be integrated into the perioperative care of patients anywhere in the world.
The key factors that keep patients in the hospital after surgery include:
the need for parenteral analgesia
the need for intravenous fluids secondary to gut dysfunction
bed rest caused by lack of mobility
The central elements of the ERAS pathway address these key factors, helping to clarify how they interact to affect patient recovery. In addition, the ERAS pathway provides guidance to all involved in peri-operative care, helping them to work as a well-coordinated team to provide the best care.
The Care Pathway is based on 3 pillars:
The guidelines are developed by a team of the key international medical professionals that includes surgeons, anaesthetist, nurses, dieticians and physiotherapists.
The Implementation Programme ensures that the every member of the team is clear on their individual roles and that of the team. A dedicated ERAS nurse coordinator is invaluable to the team and accompanies the patient through their journey from diagnosis to discharge.
Monitoring and Evaluation
Patient outcomes and recovery are continuously monitored and the Multidisciplinary Team (MDT) meet regularly to ensure quality of care is maintained and the desired benchmarks reached.