The Guideline for the Implementation of Enhanced Recovery After Surgery was approved by the AORN Guidelines Advisory Board and became effective as of November 21, 2024. Information about the systematic review supporting this guideline, including the PROSPERO registration number, systematic review questions, description of the search strategy and evidence review, PRISMA 2020 flow diagram, evidence rating model, and evidence summary table is available at https://www.aorn.org/evidencetables/.
Enhanced recovery after surgery (ERAS) is an interdisciplinary approach to surgical care that aims to optimize patient outcomes and accelerate recovery following surgery. It involves the implementation of evidence-based protocols and guidelines to enhance the patient’s physiological and psychological condition before, during, and after surgery. ERAS protocols aim to minimize the physiological stress response to surgery. This can be achieved through methods described in this guideline.
This document provides guidance to perioperative teams for implementing ERAS components for every patient population. Some patients might not be good candidates for all ERAS components, but most ERAS principles can be safely implemented in most patient populations. These recommendations, which are based on a systematic review of the literature, are intended to support perioperative registered nurses (RNs) and other clinicians in implementing ERAS evidence-based interventions for patients undergoing operative and other invasive procedures in any setting. Additional guidance for specific procedures is outside the scope of this document, and clinicians are encouraged to follow the ERAS Society’s procedure-specific guidance.
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