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

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.