Enhanced recovery after surgery (ERAS) protocols aim to improve operative outcomes by focusing on perioperative care, including early mobilization, limitation of narcotics, and maintenance of fluid balance. We implemented a T-ERAAS (Thoracic-Early Recovery with Ambulation After Surgery) protocol which focused on early ambulation, with the rationale that a patient’s mobility may be a reproducible and measurable metric for their overall status—pain control, respiratory function, cardiac function, and patient satisfaction. We set a benchmark distance of 250 feet for our early ambulation goal and redefined “early” as within the first hour post extubation. We describe some of the major aspects to our program as well as some of the challenges and successes during our 8-year experience following the implementation of this program.
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机译：术后增强恢复（ERAS）协议旨在通过关注围手术期护理来改善手术结果，包括早期动员，限制麻醉剂和维持体液平衡。我们实施了T-ERA A S（外科手术后胸廓早期恢复）方案，该方案侧重于早期下床活动，其基本原理是患者的活动度可能是其总体状况的可再现和可衡量的指标-疼痛控制，呼吸功能，心脏功能和患者满意度。我们为早期移动目标设定了250英尺的基准距离，并将“早期”重新定义为拔管后的第一个小时。我们描述了该计划的一些主要方面，以及在实施该计划后的8年经验中所遇到的挑战和成功。
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