(en) INTRODUCTION: Although the concept of enhanced recovery after surgery was introduced more than 20 years ago, its implementation in daily practice still remains difficult. RESULTS: This article addresses bottlenecks and barriers to the development of enhanced recovery programme (ERP). Barriers to the implementation are multifactorial and are raised by the different actors of these programmes: surgeons, anaesthetists, nurses, patients. Solutions and steps that must be respected to succeed in introducing ERP in an hospital are proposed. CONCLUSIONS: Large-scale implementation of ERP continues to face mainly lack of trust and communication. Solutions exist and are based particularly on team work and interdisciplinary collaboration.
Joris, J., Léonard, D., & Slim, K. (2018). How to implement an enhanced recovery programme after colorectal surgery? Acta Chirurgica Belgica (Bilingual Edition), 118(2), 73-77. https://doi.org/10.1080/00015458.2018.1427841 (Original work published 2018)