Posted by Master, Doctor Nguyen Ngoc Khanh - Head of Department of Gastroenterology - Urology - Robotic Surgery & Pediatric Surgery, Vinmec Times City International General Hospital.
ERAS are methods of patient care before, during and after surgery with the participation of many specialties in the hospital to help patients recover soon after surgery. So what are the benefits for surgical patients participating in this program?
1. What is ERAS?
ERAS is an acronym for Enhanced Recovery After Surgery. The goal of ERAS is to provide comprehensive patient care in the period before, during and after surgery to reduce hospital stay, improve treatment quality and reduce costs; reduce the complication rate for the patient. ERAS surgery patients do not need to fast, no enema. During surgery without drainage, optimal infusion to avoid water-electrolyte disturbances, pain relief without morphine, antibiotics only 1 dose to avoid side effects. After surgery, during the day, drink water, milk, eat soft, sit up after 2 hours; The first day after surgery is to give up fluids and eat raw, practice walking after 6 hours. Applying ERAS helps to reduce the time of care by 30%, and to reduce complications after surgery by 50%.
2. What is the scientific basis of ERAS?
ERAS (Enhanced Recovery After Surgery) is a collection of care protocols with many different modalities for patients before, during, and after surgery. These regimens are designed to be standardized and optimized to minimize the impact of surgery on the patient, reduce stress and organ dysfunction. Therefore, patients can recover quickly and soon after surgery. The key elements of ERAS are pre-operative counseling for patients' peace of mind and confidence, joint participation in treatment and care with medical staff, optimal nutrition, and anesthetic-reducing regimens. non-opioid pain and early motor function recovery.
3. What surgery can ERAS be used for?
In the world, ERAS has been applied in many fields such as: colorectal surgery, gastric surgery; Urological surgery; Gynecological surgery; Pancreatic surgery, hepatobiliary surgery; Head and neck surgery; Slimming surgery. At Vinmec Times City International Hospital, the first hospital in Vietnam to perform ERAS applied to colorectal surgery. It is expected that in the near future, Vinmec will continue to apply in other surgical fields such as gynecology and urology.
4. What are the benefits for patients applying ERAS?
Statistics at the latest in Canada: over 1333 patients. Average hospital stay decreased from 6 to 4.5 days Reduced complication rate, re-hospitalization rate significantly. Treatment costs decreased from 2,806 to 5,898 USD/patient. At Vinmec, most patients were discharged after 3-5 days after surgery, instead of having to stay in hospital for 7-10 days like before. The complication rate is reduced, the length of stay in the intensive care unit, the re-hospitalization rate as well as the patient's costs are reduced, bringing many benefits to both the patient and the hospital.
5. When I have surgery at Vinmec, am I required to participate in ERAS?
When undergoing surgery for colorectal pathology at Vinmec, you will be given specific advice on treatment methods and instructions for care before, during and after surgery to achieve the highest treatment effect. After consulting the doctor, you have the right to choose whether to participate in ERAS or not, this is not mandatory for the client.