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Comprehensive Otolaryngology

Enhanced Recovery After Surgery: Optimizing Perioperative Patient Care

Sunday, October 1, 2023
9:30 AM - 10:30 AM East Coast USA Time
Location: Ballroom C1

    Panelist(s)

  • Aru Panwar, MD

    Associate Professor, Head and Neck Surgical Oncology
    Methodist Estabrook Cancer Center & Creighton University School of Medicine
    Omaha, NE, United States

    • Moderator(s)

  • Carol M. Lewis, MD MPH

    Professor
    MD Anderson Cancer Center
    Houston, TX, United States

    • Panelist(s)

  • Carol M. Lewis, MD MPH

    Professor
    MD Anderson Cancer Center
    Houston, TX, United States

  • Karthik Rajasekaran, MD

    Assistant Professor, Head and Neck Oncologic & Reconstructive Surgeon, Director of QI
    Department of Otorhinolaryngology – Head & Neck Surgery, University of Pennsylvania
    Philadelphia, Pennsylvania, United States

  • CB

    Carol M. Bier-Laning, MD MBA FACS

    Professor and Department Quality Medical Director
    Dept of Otolaryngology, Loyola University Medical Center
    Maywood, IL, United States

Disclosure(s):
Carol M. Lewis, MD MPH: No relevant relationships to disclose.
PROGRAM DESCRIPTION: In recent years, there has been increased scrutiny of specific post-operative metrics by hospital administrators and payers. Surgeons-led quality improvement initiatives have contributed to reduced hospital length of stay, readmission rates, and post-operative complications with implications for patient satisfaction and fiscal stewardship. Enhanced Recovery After Surgery (ERAS) programs is one such quality initiative, with the ultimate goal of expedited recovery of patients. ERAS programs rely on interdisciplinary coordination to optimize patient nutrition, antibiotic prophylaxis, thrombo-prophylaxis, and pain control, amongst other factors, through standardized and evidence-based care pathways to achieve early mobilization and faster recovery. Importantly, these protocols utilize multimodal analgesia strategies to minimize opioid use. These strategies have obvious implications for patient safety and quality improvement as well as for addressing our national opioid crisis.

This panel discussion will focus on informing otolaryngologists about the emerging literature on ERAS in otolaryngology-head and neck surgery, with opioid-sparing multimodal analgesia as an essential component. Speakers will describe the benefits of ERAS and strategies for its adoption into practice for otolaryngology patients, with discussion of both head and neck surgery-specific protocols and programs that include all otolaryngology subspecialties. Furthermore, discussion will include the methods for monitoring compliance and outcomes. Audience members will have the opportunity to choose specific ERAS interventions for further discussion.

OUTCOME OBJECTIVE 1: Describe the rationale and role of enhanced recovery pathways in otolaryngology-head and neck surgery.

OUTCOME OBJECTIVE 2: Identify multimodal analgesia as an alternative to opioid analgesia in otolaryngology-head and neck surgery.

OUTCOME OBJECTIVE 3: Understand strategies for introducing enhanced recovery and multimodal analgesia into practice and for monitoring progress through compliance and outcomes.

BACKGROUND STATEMENT: Enhanced recovery after surgery protocols are effective in streamlining post-operative care and improving outcomes. This course focuses on broader application of ERAS pathways in otolaryngology subspecialties.