Evidence brief
Enhanced Recovery After Surgery (ERAS) in Arthroplasty
Multimodal approach reduces length of stay and complications
Key elements: preoperative education, multimodal analgesia, early mobilization
Opioid-sparing protocols reduce side effects
Tranexamic acid reduces blood loss and transfusion
Day surgery arthroplasty now feasible in select patients
ERAS protocols have transformed perioperative care in arthroplasty. Evidence-based multimodal approaches improve outcomes, reduce costs, and enhance patient satisfaction.
Know ERAS elements: preoperative (education, optimization, carbohydrate loading), intraoperative (regional anesthesia, TXA, multimodal analgesia), postoperative (early mobilization, opioid-sparing analgesia, VTE prophylaxis). Discuss local protocols.
Kehlet H. Enhanced postoperative recovery: good from afar, but far from good? Anaesthesia. 2020;75(Suppl 1):e54-e61.
Level II
Lesser quality RCT or prospective comparative study