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Enhanced Recovery After Surgery

Dr. Justin Smith, Class of 2018, presenting his ERAS
project at our Academic Research Evening
Stony Brook University Medical Center is a leader in Enhanced Recovery After Surgery (ERAS). ERAS is a multidisciplinary implementation of best practices in the preoperative, intraoperative, and postoperative phases designed to accelerate recovery, improve patient satisfaction, and reduce complications and resource utilization.

Stony Brook’s full-time ERAS Coordinator, Dr. Sunitha Singh, facilitates a multi-disciplinary team approach involving anesthesiologists, surgeons, nurse practitioners, physician assistants, nurses, pharmacists, and social workers.

Under the guidance of Dr. Tong Joo (TJ) Gan and Dr. Elliott Bennett-Guerrero, our ERAS programs have stimulated important advances in clinical care and in research studies that advance the overall patient experience. Dr. Gan is Professor and Chairman of the Department of Anesthesiology. He is a founding member and Past President of the American Society for Enhanced Recovery (ASER) and is a leading advocate for ERAS Programs in the United States. Dr. Bennett-Guerrero is Professor of Anesthesiology and Vice Chair for Clinical Research and Innovation in the Department of Anesthesiology. He also serves as the Medical Director for Perioperative Quality and Patient Safety. Dr. Bennett-Guerrero’s extensive background in perioperative clinical research has garnered acclaim at the national level and he has secured significant funding for diverse quality improvement and clinical research projects. His expertise and novel concepts are a driving force to advancing our ERAS programs.

We currently have four active ERAS surgical pathways:
  • Colorectal
  • Spine
  • Urology
  • Minimally Invasive Gynecology
Since implementation, ERAS programs have:
  • Reduced the postoperative length of stay by 4 days, on average in Colorectal surgery
  • Minimized opioid prescriptions after discharge in Minimally Invasive Gynecology surgery
We are now launching ERAS pathways in Surgical Oncology, Urogyn, Orthopedic and Plastic surgery, and are developing an ERAS pathway for Thoracic surgery.

Anesthesiology residents and other trainees are invited and encouraged to participate in ERAS program development and implementation. Our anesthesia residents have presented posters and have drafted manuscripts for results of ERAS in Minimally Invasive Gynecology and Spine surgery.

We are creating innovative ways of advancing patient care. Some examples include:
  • Developing an IT-based automated system to monitor compliance and outcomes across all ERAS programs
  • Developing an automated system for collection of Patient Reported Outcomes (PROs) using emails and texts after hospital discharge
  • Conducting an IRB-approved national survey on the use of preoperative carbohydrate beverages in diabetics and non-diabetics
If you have any questions or would like to get involved, please contact Dr. Sunitha Singh (ERAS Coordinator) at Sunitha.singh@stonybrookmedicine.edu