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Although ERAS was originally described for colorectal surgery (called “fast track surgery”), the improved outcomes quickly led to wide-spread use of ERAS in other major surgeries such as major gynecological, urological, and orthopedic surgeries. The PAME ERAS Society has the philosophy that ERAS will be more beneficial to patients and institutions alike if applicable components of the protocols are implemented for their relevant types of surgeries. Using this philosophy, the PAME ERAS Society has played a leading role in establishing evidence-based protocols for Enhanced Recovery After Cesarean Section (ERACS) which was recently adopted by the ERAS Society.
Day case surgery (ambulatory surgery) refers to surgeries that happen without an overnight stay. ERAS is an evidence based, multimodal, peri-operative protocol driven approach that is designed to improve the overall quality of patient care. Although ERAS started in major surgeries, its widespread implementation to different surgical indications and demonstrated ability to reduce length of stay may ultimately make it possible to do more surgeries that were previously not suitable to be performed as “day cases”.
No - it is not all or none! It is nonetheless proven that the more compliant one is with the protocols, the better the outcomes are. However, every component of ERAS will have some marginal benefits. That said, in order to achieve the maximum benefits of ERAS, healthcare professionals are strongly suggested to implement ERAS as a package. For further questions on ERAS implementation strategies please email us.

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