ENHANCE ERAS® WITH ENCARE

NEWS FOR PANCREATIC SURGERY: THE UPDATED ERAS® INTERACTIVE AUDIT SYSTEM PROTOCOL

WELCOME TO THE FUTURE OF ENHANCED RECOVERY AFTER SURGERY (ERAS®) FOR PANCREATIC SURGERY

We are excited to announce a significant update to the ERAS® Interactive Audit System (EIAS), aligning with the latest published ERAS® Society guidelines on pancreatic surgery.

INTRODUCING THE UPDATED PANCREAS PROTOCOL IN EIAS

The ERAS® Interactive Audit System, a cornerstone for ERAS® implementation, now includes an upgraded pancreas protocol.

This protocol is  designed to reflect the latest ERAS® Society guidelines.

Our commitment to evidence-based care is stronger than ever, ensuring that healthcare providers have access to the most current guidelines for Enhanced Recovery After Surgery.

KEY BENEFITS OF ERAS® WITHIN PANCREATIC SURGERY

  • Reduced Complications and Mortality: The adoption of ERAS® guidelines leads to improved patient outcomes by utilizing the best practices in surgical care.[1, 5, 6]
  • Reduced Length of Stay: Efficient care processes under ERAS® protocols facilitate swift patient recovery, reducing the time spent in hospitals.[1, 4]
  • Significant Cost Savings: Shorter Length of Stay results in lower costs for healthcare facilities.[1, 2, 3]

 

WHY OPT FOR THE ERAS® INTERACTIVE AUDIT SYSTEM?

Choosing to implement ERAS® through Encare’s EIAS (ERAS® Interactive Audit System) and EIP (ERAS® Implementation Program) means adopting a system that’s specifically built for the implementation and auditing of and research within ERAS® .

Users of EIAS have consistently reported higher compliance with ERAS® guidelines, resulting in fewer complications, reduced hospital stays, and substantial cost savings.

SPREAD THE WORD AND EXPERIENCE EIAS FIRSTHAND

We encourage pancreatic surgeons and their teams to explore these updates and embark on their ERAS® journey.

We are offering personalized demos to introduce you to the new features of the ERAS® Interactive Audit System.

Book your slot now for a hands-on experience and expert consultation on implementing ERAS® in your practice.

CONCLUSION

The ERAS® Interactive Audit System, with its updated pancreas protocol, is an opportunity for medical professionals to elevate the standard of care in pancreatic surgery, aligning with the latest ERAS® Society guidelines.

REFERENCES:

  1. Takagi K, Yoshida R, Yagi T, Umeda Y, Nobuoka D, Kuise T, Hinotsu S, Matsusaki T, Morimatsu H, Eguchi J, Wada J, Senda M, Fujiwara T. Effect of an enhanced recovery after surgery protocol in patients undergoing pancreaticoduodenectomy: A randomized controlled trial. Clin Nutr. 2019 Feb;38(1):174-181. doi: 10.1016/j.clnu.2018.01.002. Epub 2018 Jan 9. PMID: 29373148.
  2. Joliat GR, Labgaa I, Petermann D, Hübner M, Griesser AC, Demartines N, Schäfer M. Cost-benefit analysis of an enhanced recovery protocol for pancreaticoduodenectomy. Br J Surg. 2015 Dec;102(13):1676-83. doi: 10.1002/bjs.9957. Epub 2015 Oct 22. PMID: 26492489.
  3. Lof S, Benedetti Cacciaguerra A, Aljarrah R, Okorocha C, Jaber B, Shamali A, Clarke H, Armstrong T, Takhar A, Hamady Z, Abu Hilal M. Implementation of enhanced recovery after surgery for pancreatoduodenectomy increases the proportion of patients achieving textbook outcome: A retrospective cohort study. Pancreatology. 2020 Jul;20(5):976-983. doi: 10.1016/j.pan.2020.05.018. Epub 2020 May 28. PMID: 32600854.
  4. Jesse K. et al  The impact of intraoperative goal-directed fluid therapy on complications after pancreaticoduodenectomy, Annals of Medicine and Surgery, Volume 36, 2018,, Pages 23-28,ISSN 2049-0801, https://doi.org/10.1016/j.amsu.2018.10.018.
  5. Wang XY, Cai JP, Huang CS, Huang XT, Yin XY. Impact of enhanced recovery after surgery protocol on pancreaticoduodenectomy: a meta-analysis of non-randomized and randomized controlled trials. HPB (Oxford). 2020 Oct;22(10):1373-1383. doi: 10.1016/j.hpb.2020.07.001. Epub 2020 Aug 15. PMID: 32811766.
  6. Dai J, Jiang Y, Fu D. Reducing postoperative complications and improving clinical outcome: Enhanced recovery after surgery in pancreaticoduodenectomy – A retrospective cohort study. Int J Surg. 2017 Mar;39:176-181. doi: 10.1016/j.ijsu.2017.01.089. Epub 2017 Jan 26. PMID: 28132917.

UPDATED ERAS® PROTOCOL FOR LIVER SURGERY IS NOW AVAILABLE IN EIAS

WE’RE THRILLED TO SHARE THAT THE ERAS® INTERACTIVE AUDIT SYSTEM NOW INCLUDES THE NEW PROTOCOL FOR LIVER SURGERY

Since the first ERAS® Society guidelines for liver surgery were introduced in 2016[1], there’s been a notable improvement in postoperative patient outcomes, as evidenced by several publications [2, 3] and three recent meta-analyses [4, 5, 6].

These analyses show significant reductions in postoperative complications, LOS, and overall costs thanks to ERAS® implementation.

WHAT’S NEW IN THE GUIDELINES?

The updated guidelines[7] are now exclusively based on studies specific to liver surgery, enhancing their relevance and impact.

This marks a progress from the initial guidelines, where one third of the recommendations were derived from non-liver surgery studies. 25 recommendation items have been elaborated, whereof three are completely new compared to the initial guidelines:

  • Prehabilitation in high-risk patients.
  • Preoperative biliary drainage in cholestatic liver.
  • Preoperative smoking and alcohol cessation at least 4 weeks before hepatectomy.

 

These new guidelines based on best practice allow standardization of the perioperative pathway for liver surgery. With Encare’s solutions for ERAS® implementation (ERAS® Interactive Audit System and ERAS® Implementation Program) we support you in making the most out of the guidelines.

WHY CHOOSE EIAS FOR YOUR ERAS® IMPLEMENTATION?

With our platform, you’re adopting a truly evidence-based, multidisciplinary, and perioperative approach, based on the most up-to-date clinical knowledge. EIAS users have reported increased ERAS® Society guidelines compliance and thereby fewer complications, reduced LOS, and substantial cost savings.

We believe that this update can benefit all healthcare providers who perform liver surgeries. If this includes you, take the opportunity to begin your true ERAS® journey!

Please also share it with your peers within liver surgery.

 

References:

  1. Melloul E, Hübner M, Scott M et al (2016) Guidelines for perioperative care for liver surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg 40:2425–2440.
  2. Liang X, Ying H, Wang H et al (2016) Enhanced recovery program versus traditional care in laparoscopic hepatectomy. Medicine (Baltimore) 95:e2835
  3. Liang X, Ying H, Wang H et al (2018) Enhanced recovery care versus traditional care after laparoscopic liver resections: a randomized controlled trial. Surg Endosc 32:2746–2757
  4. Li L, Chen J, Liu Z et al (2017) Enhanced recovery program versus traditional care after hepatectomy: a meta-analysis. Medicine (Baltimore) 96:e8052
  5. Zhao Y, Qin H, Wu Y, Xiang B (2017) Enhanced recovery after surgery program reduces length of hospital stay and complications in liver resection: a PRISMA-compliant systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 96:e7628
  6. Noba L, Rodgers S, Chandler C et al (2020) Enhanced recovery after surgery (ERAS) reduces hospital costs and improve clinical outcomes in liver surgery: a systematic review and meta-analysis. J Gastrointest Surg 24:918–932
  7. Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022. World J Surg 47, 11–34 (2023).

ERAS® Society Guidelines and WHO Surgical Safety Checklist come together

ERAS® multidisciplinary teams can now leverage two tools in one (2 in 1) to improve perioperative care. This tool was created with 105 experts from 18 countries and includes ERAS® specific items as well as checklist items. It is not designed for use by all teams in all settings. It brings surgical teams together to ensure a shared understanding for the treatment of ERAS® patients.

A consensus statement, just published in JAMA Surgery, suggests that an enhanced recovery after surgery surgical safety checklist could be implemented in place of an existing surgical safety checklist, with the goal of improving adherence with the individual tools to improve outcomes.

Please read the full article here.

Encare provides the ERAS® Interactive Audit System for continuous quality audit and follow-up of the ERAS® initiatives, complemented by extensive training programs, including the ERAS® Implementation Program.

For details on how to get started with the ERAS® Interactive Audit System, please contact us.

ERAS® QUALIFIED – SPITALZENTRUM OBERWALLIS, SWITZERLAND

The Colorectal team from Spitalzentrum Oberwallis became ERAS® Qualified on 2 December, 2022 through team work and dedication from all involved. The ERAS® Clinical Expert, Dr Björn Wellge and Dr Annika Schaffrin and ERAS® Coach Freya Brodersen from the ERAS® Center of Excellence, Universitätsklinikum Hamburg Eppendorf have supported them throughout the ERAS® implementation. We wish them all continued success in their ERAS® work!

PROTOCOL IS CREATING SHORTER HOSPITAL STAYS, LESS USE OF OPIOIDS, FEWER POST-SURGICAL INFECTIONS AND LOWER COSTS FOR PATIENTS

The recently ERAS® Qualified team of University Hospitals of Ohio, Cleveland, USA made national news for their work.

“ERAS is a patient-centered and evidence-based approach to surgery that has reduced length of stay and costs, improved pain scores and quality and reduced narcotics use,” added Peter Pronovost, MD, PhD, Chief Quality and Clinical Transformation Officer at UH.”

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