HYBRID EVENT: You can participate in person at London, UK or Virtually from your home or work.

6th Edition of Global Conference on Surgery and Anaesthesia

September 15-17, 2025 | Hybrid Event

September 15 -17, 2025 | London, UK
GCSA 2025

Understanding perceptions, knowledge and implementation barriers of enhanced recovery after surgery among surgeons and anaesthesiologists

Muhammad Raheel, Speaker at Surgery Conferences
Leicester General Hospital, United Kingdom
Title : Understanding perceptions, knowledge and implementation barriers of enhanced recovery after surgery among surgeons and anaesthesiologists

Abstract:

Introduction: Enhanced Recovery After Surgery (ERAS) protocols have demonstrated benefits in improving postoperative outcomes, yet their implementation remains inconsistent, particularly in resource-limited settings. This study aimed to evaluate the knowledge, perceptions, and barriers to ERAS implementation among perioperative clinicians.

Methods: This cross-sectional study included responses from 214 perioperative clinicians, comprising surgeons and anaesthesiologists involved in abdominal surgeries, from tertiary care hospitals in Khyber-Pakhtunkhwa, Pakistan. A structured questionnaire collected data on participants’ knowledge of ERAS protocols, perceived barriers to implementation, and learning preferences. Responses were analysed using descriptive and inferential statistics, with significance set at p<0.05.

Results: Of the 214 respondents, 91.6% (n=196) were residents, and the majority were from surgery (90.2%, n=193) compared to anaesthesiology (9.8%, n=21). Knowledge regarding ERAS protocols was limited; 41.6% (n=89) reported no prior knowledge, while 45.3% (n=97) had minimal familiarity. Key barriers included lack of institutional support, time constraints, and insufficient local research. Despite limited knowledge, 67.8% (n=145) endorsed the inclusion of ERAS education in formal training programs. Preferred learning formats included seminars or lectures (42.9%, n=92) and journal articles (36.9%, n=79). Perceptions of ERAS importance were generally positive, but significant differences were noted regarding hospital administration support (p=0.013).

Conclusion: This study identifies significant gaps in ERAS knowledge among perioperative clinicians, particularly among residents, and highlights perceived logistical barriers to its implementation. However, the findings are limited by the underrepresentation of consultants and anaesthesiologists, who are key drivers of ERAS programs. The findings highlight the need for targeted educational interventions, stronger institutional support, and multidisciplinary collaboration to improve ERAS adoption.

Biography:

Muhammad Raheel completed his MBBS from Khyber Medical College, Peshawar, Pakistan in 2016, followed by a one-year internship. He began a five-year residency in 2018, including two years in general surgery and dedicated urology training from 2020 to 2022. During residency, he obtained MRCS from RCS Edinburgh and secured GMC registration. In July 2023, he relocated to the UK and is currently working as a Specialty Registrar in Urology at Leicester General Hospital, UHL, NHS Trust. His future goals include completing CCT in the UK and pursuing a fellowship in EndoUrology. He has been actively involved in research since 2022.

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