Maximizing Recovery and Minimizing Risk: The Anaesthesiologist’s Crucial Role in Enhanced Recovery After Surgery (ERAS)

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Enhanced Recovery After Surgery (ERAS): Role of the Anaesthesiologist


Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach aimed at reducing surgical stress, optimizing physiologic function, and expediting recovery. Anaesthesiologists play a vital role throughout the perioperative period in ERAS protocols.





Preoperative Optimization

Anaesthesiologists assess and optimize comorbidities, educate patients, and plan individualized anaesthesia techniques. Preoperative carbohydrate loading and minimal fasting are encouraged to reduce insulin resistance and improve outcomes.


Intraoperative Management

ERAS emphasizes multimodal analgesia, opioid-sparing techniques, and goal-directed fluid therapy. Anaesthesiologists select appropriate anaesthetic agents and regional techniques that reduce the stress response and promote early recovery.





Pain Control Strategies

Effective pain management is central to ERAS. Anaesthesiologists employ epidurals, nerve blocks, and non-opioid analgesics to minimize opioid use while ensuring adequate pain relief, promoting mobility and faster recovery.


Minimizing Postoperative Complications

Early mobilization and prevention of nausea, ileus, and thromboembolism are ERAS goals. Anaesthesiologists help coordinate postoperative care, ensure antiemetic protocols, and support early oral intake.


Collaborative Role in ERAS Teams

Anaesthesiologists collaborate with surgeons, nurses, and physiotherapists to maintain protocol adherence and evaluate outcomes. Their leadership in perioperative care is crucial for the success of ERAS pathways.


Conclusion

Anaesthesiologists are integral to the success of ERAS programs. Their involvement in every perioperative stage ensures improved patient outcomes, reduced hospital stays, and higher patient satisfaction.


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