ERAS as defined by the American Association of Nurse Anesthetists, “Enhanced Recovery after Surgery (ERAS) refers to patient-centered, evidence-based, multidisciplinary team developed pathways for a surgical specialty and facility culture to reduce the patient’s surgical stress response, optimize their physiologic function, and facilitate recovery. These care pathways form an integrated continuum, as the patient moves from home through the pre-hospital/preadmission, preoperative, intraoperative, and postoperative phases of surgery and home again.
The key principles of the ERAS protocol include pre-operative counselling, preoperative nutrition, avoidance of perioperative fasting and carbohydrate loading up to 2 hours preoperatively, standardized anesthetic and analgesic regimens (epidural and non-opioid analgesia) and early mobilization
Looking in depth to the ERAS protocols, you will find that anesthesia plays an important role in many aspects of ERAS, including patient education, preoperative evaluation and optimization, anesthesia choice and medication, fluid therapy, temperature monitoring, and postoperative analgesia.
According to Dr. Theresa Bowling, The role of regional anesthesia, nerve blocks, is a critical component ERAS program implementation and until recently undervalued as a key component for success of program development.
In response to the demand by the surgical and anesthesia communities to learn how to implement successful ERAS programs for orthopedic, colorectal, and breast surgery, the Stamford School of Regional Anesthesia (SSRA) has developed comprehensive clinically oriented ultrasound guided nerve block training modules for the chest wall, abdominal wall, and upper and lower extremity peripheral nerve blocks.
The Stamford School of Regional Anesthesia Nerve Block Master Course focuses on the use of ultrasound for performing regional nerve blocks and catheter placement. This comprehensive program provides a solution to the need for high quality training in the management of acute pain. This online activity is approved for a maximum of 13 AMA Category 1 credits.
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Take the SSRA course to learn how to do your part to reduce or eliminate narcotics in the peri-operative period.
Fujifilm SonoSite at ANESTHESIOLOGY 2017 (October 21 – 23)
Dr. Theresa Bowling, President and Founder of Stamford School of Regional Anesthesia is a physician guest speaker, along with Dr. Gregory Hickman and Dr. Stephen Haskins, at the Fujifilm SonoSite at ANESTHESIOLOGY 2017 (October 21 – 23).
Physician guest speakers Dr. Bowling, Dr. Hickman and Dr. Haskins, join Fujifilm SonoSite at ASA will delve into how perioperative exams and ultrasound guided nerve blocks can contribute to optimal pain control and Enhanced Recover After Surgery (ERAS).
Dr. Theresa Bowling, Assistant Professor of Anesthesiology, St. Vincent’s Medical Center, Bridgeport, CT; Frank H. Netter School of Medicine at Quinnipiac University; President and Founder, Stamford School of Regional Anesthesia. Topic: Enhance Recovery After Surgery (ERAS): Reducing Opioids with Regional Nerve Blocks
Dr. Stephen Haskins, Assistant Attending Anesthesiologist at the Hospital for Special Surgery; Clinical Assistant Professor of Anesthesiology; Weill Cornell Medical Center, New York, NY. Topic: Going Beyond the Block with Bedside Echo and Perioperative Exams
Dr. Gregory Hickman, Medical and Anesthesia Director at the Andrews Institute, ASC Gulf Breeze Fl.. Topic: Managing Post-op Pain with Regional Nerve Blocks