Episode 21: ERAS with Dr. Chris Wu

In this episode I interview Dr. Chris Wu, professor of anesthesiology and pain medicine and internationally renowned expert in Enhanced Recovery After Surgery (ERAS) pathways.  We discuss the different aspects of ERAS pathways and the evidence for improved outcomes.

The ERAS society website can be found here: http://erassociety.org

Check out this fantastic outline of the episode put together by Brian Park: ERAS outline

 

4 Replies to “Episode 21: ERAS with Dr. Chris Wu”

  1. Hi, first of all I want to say thank you for providing us with these awesome lectures. I was wondering if you can ask Dr. Wu for the article about the different dosages of Celebrex and how it does not affect platelet function up to 600 mg. Thank you so much.

    1. Absolutely. The article is: Leese PT, et al. Effects of Celecoxib, a Novel Cyclooxygenase-2 inhibitor, on platelet function in healthy adults: a randomized, controlled trial. Journal of Clinical Pharmacology 2000;40:124-132.

  2. Hi Dr. Wolpaw – thank you for taking the time to make this podcast. As a fourth year med student I’ve found it incredibly helpful! I have a question regarding Analgesia for lap procedures that convert to open. Do you know what Dr. Wu’s best practices are for adhering as closely as possible to the ERAS protocol while also providing adequate analgesia in those situations? Thanks in advance!

    1. Hi Justin,

      We use ERAS protocols for laparoscopic as well as open procedures. The main difference is that we don’t place epidurals for the laparoscopic cases. So if a case that was initially planned for laparoscopic converts to open, the main difference is pain control. We stick pretty much exactly to the same protocol but we may end up giving more pain medicine than we would have if it had remained laparoscopic or if it had been planned as open and the patient had received an epidural. Post-op TAP blocks are another option in this case and, of course, it would also be possible to place a post-op epidural if needed. I hope that’s helpful.

      All the best,
      Jed

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