Enhanced recovery after surgery: the role of the PACU & Pre-op

Enhanced recovery after surgery: the role of the PACU & Pre-op

Magnus K. Teig BSc (Hons.) MBChB MRCP FRCA EDIC FFICM Assistant Professor Anesthesia & Neurosurgery

Director UH PACU University of Michigan

Learning Objectives

1. Review the evolution and origins of Enhanced Recover after surgery (ERAS) programs and the role of the PACU within them

2. Discuss the future implications of ERAS on the PACU & pre-op areas and on peri-operative practice

Disclosures

None

Acknowledgements

Dr. Samantha Hendren Associate Professor of Surgery, Colon & Rectal Surgery Michigan Medicine

Dr. Scott Ellis Regenbogen Associate Professor of Surgery, Colon & Rectal Surgery Michigan Medicine

Dr. Andrew Gray Urquhart Associate Professor, Orthopedic Surgery Michigan Medicine

Dr. Paul Hilliard Assistant Professor, Anesthesia & Pain Michigan Medicine

Enhanced Recovery after surgery (ERAS)

What is ERAS anyway? Multidisciplinary bundles of care Aim to hasten recovery and shorten stay

What is ERAS?

Where did ERAS begin?

Prof. Henrik Khelet MD PhD Colorectal surgeon Hvidovre Hospital (post 2004 Rigshospitalet K?benhavn) Pre-emptive analgesia - epidurals and nitrogen balance Evolved to "fast track" surgery mid 1990's ERAS born 2001

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