Getting Healthy For Surgery (ERAS)
Preparing Your Body for Surgery: Steps to Support Recovery and Outcomes
Facing surgery can feel overwhelming, but preparing your body and mind can make a significant difference. Enhanced Recovery After Surgery (ERAS) protocols are designed to support faster, safer recoveries, particularly for joint replacement procedures. By following these evidence-based steps before, during, and after surgery, you can optimise your health and recovery outcomes.
What Is ERAS?
ERAS, or Enhanced Recovery After Surgery, is a structured approach that focuses on improving recovery through a combination of pre-operative preparation, advanced surgical techniques, and post-operative care. Initially developed for major surgeries, ERAS is now widely used for procedures such as knee and hip replacements.
While every patient’s experience is unique, these protocols aim to streamline recovery and improve overall outcomes.
The Four Stages Of ERAS
- Pre-Operative Preparation
Preparing for surgery is key to a successful recovery and this stage involves optimising your physical and mental health:
- Learning specific exercises to strengthen your body
- Addressing lifestyle factors like diet, weight management, and smoking cessation
- Understanding the surgical process to reduce anxiety
- Intra-Operative Care
During surgery, techniques are used to minimise the impact on your body. These include advanced anaesthesia methods and careful surgical planning to reduce pain and enhance recovery.
- Post-Operative Recovery
Early mobilisation, pain management, and tailored rehabilitation plans help you recover quickly and minimise complications. You’ll be encouraged to engage in activities that promote healing, such as walking and physiotherapy, soon after surgery.
- Discharge Planning
From the moment your surgery is scheduled, discharge planning begins. Your medical team works to ensure you can return home safely and comfortably, with the necessary support in place.
The Importance of Education and Preparation
Dr McGrath emphasises education and expectation management. He will guide you through every step, ensuring you understand the recovery process and are equipped to actively participate.
Patients undergoing joint replacement surgery may attend a ‘Joint School’ seminar, designed to prepare you for what lies ahead. Understanding the process can reduce anxiety and improve your confidence as you approach surgery.
Physiotherapy is a cornerstone of ERAS. You’ll work with physiotherapists before and after surgery to:
- Build strength and flexibility
- Learn to use assistive devices like crutches
- Follow a personalised rehabilitation plan for optimal recovery
Dr McGrath believes in treating you as a capable, active participant in your recovery. For example, we encourage patients to wear their own clothes during recovery rather than hospital gowns. This simple shift reinforces that you are not sick but healing and regaining mobility.
ERAS protocols include streamlining certain post-operative practices, such as reducing unnecessary tests and focusing on your overall well-being. While these protocols aim to shorten hospital stays, your safety remains the top priority.
Recovery is a team effort. Dr McGrath collaborates closely with anaesthetists, physiotherapists, and other healthcare professionals to ensure a cohesive approach. This collaboration supports the best possible outcomes tailored to your individual needs.
With ERAS protocols, many patients experience smoother recoveries and quicker returns to daily life. While outcomes vary, these protocols are designed to improve your experience and results.