Guideline for Implementation of ERAS

This evidence-based guideline provides recommendations for the implementation and sustainability of Enhanced Recovery After Surgery (ERAS) programs across the perioperative continuum, including the extended postoperative period. ERAS is an interdisciplinary, patient-centered approach that integrates evidence-based practices before, during, and after surgery to reduce the physiologic stress response, support recovery, and improve patient outcomes. This guideline emphasizes early planning in the preoperative phase to establish a coordinated approach to care that extends through the first 30 days after surgery. It supports perioperative teams in developing and operationalizing structured pathways for patient assessment, risk reduction, coordinated care delivery, and ongoing postoperative monitoring, with a focus on performance measurement and continuous improvement.

This guideline is designated as a living guideline, with ongoing surveillance and incorporation of emerging evidence to support timely updates and maintain the relevance of recommendations.

Key changes in this update: This update adds a new section focused on the extended postoperative period, extending ERAS implementation through 30 days after surgery. The guideline emphasizes early preoperative planning to establish a coordinated approach to care that anticipates postoperative needs. Revisions across sections integrate structured approaches to patient assessment, risk identification, and postoperative monitoring to improve continuity and support patient outcomes.

The public comment period closes August 6th. Comments received after this date will not be considered in the final review. Thank you for your consideration.