Date of Award

Spring 5-7-2022

Document Type

DNP Project

Project Team Faculty Member

Project Team Faculty Member

Kay Gaehle, PhD, RN

Project Team Faculty Member

Adam Schneider, DNP, CRNA, APN


ERAS preoperative management, ERAS postoperative management, enhanced recovery pathways in orthopedic surgery, enhanced recovery pathways in bowel surgery, postoperative multimodal management, ERAS hydration


Enhanced Recovery After Surgery (ERAS) is described as an evidence-based, patient-centered, interdisciplinary team developed protocol utilized to decrease the patient’s stress response to surgery, maintain preoperative physiologic function, and expedite recovery (American Association of Nurse Anesthetists [AANA], 2017). Existing evidence displayed the benefits of utilizing ERAS protocols in various surgical procedures, including general and orthopedic cases. Studies showed one must employ the preoperative, intraoperative, and postoperative components of the ERAS protocols to achieve maximum benefits. A critical access hospital in Illinois utilized some components of ERAS protocols, mainly the intraoperative portions, but lacked the full utilization. Goals of the review included obtaining current evidence-based practices regarding preoperative hydration and multimodal analgesic management for general abdominal surgery and orthopedic surgery. A voiceover PowerPoint and protocol summarizing fluid management and multimodal analgesic management findings and implications for practice was emailed to the designated providers. Once providers viewed the information, the providers evaluated via an anonymous survey. The goal of improving the knowledge of the healthcare providers regarding these topics was proven successful via the post-implementation survey. The evidence displayed the tremendous impact ERAS protocols can have on practice.

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