A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .
Information gain in patients using a multimedia website with tailored information on anaesthesia.
BACKGROUND The preoperative visit is an appropriate time to educate the patient on anaesthesia . The aim of this study was to determine if a website , as an information source for anaesthesia before the visit to the preoperative assessment clinic ( PAC ) , increases patients '  knowledge on anaesthesia . METHODS A multimedia website was developed containing specific information about anaesthesia relevant to the patient . A question naire was developed to measure knowledge gain .  Patients were divided into three groups : ( i ) those who read the existing brochure ; ( ii ) those who looked at the new website ; and ( iii ) a cluster of non-brochure and non-website users : those who did not read the brochure or website but had completed the question naire . An anaesthesiologist also informed all three groups during the preoperative visit at the PAC . RESULTS Patients visiting the website had a higher educational level than others . A significant increase in knowledge was observed after using the website information compared with the other two groups ( P<0.001 ) . The group with higher education levels had higher knowledge gains , and the website independently contributed to the knowledge gain . CONCLUSIONS A patient-tailored multimedia website is an effective way to support the information provided by the anaesthesiologist in order to inform patients about their upcoming anaesthetic procedure . The use of such a website gives a significant increase in knowledge compared with only spoken information , or spoken information combined with a brochure
A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .