The University of Miami spine surgery ERAS protocol: a review of our journey

Meng Huang, G. Damian Brusko, Peter A. Borowsky, John Paul G. Kolcun, Julie A. Heger, Richard H. Epstein, Jay Grossman, Michael Y. Wang


Enhanced recovery after surgery (ERAS) is a multidisciplinary concerted approach to optimizing post- operative recovery and reducing hospital length of stay. It was first conceived in Denmark for abdominal surgery (1,2). This initiative examined organ/system specific responses to surgical stress and factors compromising these pathophysiologic effects pre-operatively, intra- operatively, and post-operatively.