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How it all began...

- Based out of Sweden and the UK

- Introduced into Alberta in 2013

- Unit 23 in September

Philosophy

"to reduce the

metabolic stress caused by surgical trauma and at the same

time support the return of functions that allow patients to get

back to normal activities rapidly."

What is it?

ERAS: Enhanced Recovery After Surgery

Goal: Improve patient outcomes and decrease length of stay

- Consistent protocols before, during and after surgery

- Actively involves the client and family

Pre admission

- Incorporate nutritional education

- Prophylaxis to minimize post op infections

- No more bowel prep

Post operative

- No routine NG tube

- Early oral nutrition (aggressive treatment of nausea and vomiting)

- Early mobilization

- Pain control

- Remove foleys early

- Trident protocol

How do we do this?

- pre admission teaching and counselling

- using minimally invasive methods

- preservation of gut function

- early oral feeding, early mobilization and discharge planning

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