Enhanced recovery protocols show variable adherence in emergency surgeries

A multicenter study involving 760 patients examined adherence to enhanced recovery protocols (ERPs) in emergency general surgery (EGS). While adherence rates were high for active warming (97%) and postoperative nausea/vomiting prevention (92%), significant gaps were identified in invasive monitoring (35%) and minimally invasive surgery (26%). Postoperative outcomes revealed a 3% mortality rate and a 7-day median hospital stay, indicating the importance of improving compliance with ERPs, particularly for less-utilized components in high-risk surgical settings.