Fluid Management for ERAS Colorectal

Self-Study Online

Developed in collaboration with the Canadian Patient Safety Institute as part of the Enhanced Recovery Canada (ERC) program, this self-study learning scenario helps build greater proficiency with implementing ERAS best practices specific to perioperative fluid management. Authored and peer reviewed by healthcare experts from across Canada, the activity integrates online simulation and important self-assessment questions, answers, and evidence based feedback.


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Learning Outcomes

By the end of this simulation-based learning activity, you will be able to:

  • Apply several preoperative, intraoperative, and postoperative fluid management recommendations supported by enhanced recovery after surgery (ERAS) evidence.
  • Choose appropriate intraoperative fluid maintenance type and infusion rates in a virtual patient undergoing colorectal surgery.
  • Describe and apply a systematic evidence-informed fluid administration approach to managing perioperative and postoperative hemodynamic instability.
  • Describe some practical approaches to determining fluid responsiveness intraoperatively and postoperatively, in both invasively monitored (e.g. ICU/HDU) and surgical floor settings.

Intended Audience

Designed for a broad range of specialists and other healthcare professionals (e.g. anesthesia, general surgery, registered nurses, anesthesia assistants), this case is best suited to those frequently involved in managing the care of colorectal surgery patients. Participants should have some basic requisite knowledge (e.g. hemodynamic monitoring, fluid administration) and have practiced within an acute care setting.

Authors, Reviewers and Disclosures


Javier Webar MD Nothing to disclose.
Gabriele Baldini MD, MSc

Edwards Lifesciences Canada-consultant fees honoraria, education grant-2014


Naveen Eipe MD Nothing to disclose.
Kelly Mayson, MD, FRCPC

Edwards Lifesciences Canada-Advisory Board

This program has received an educational grant or in-kind support from Canadian Patient Safety Institute (CPSI)

CME Accreditation

This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification (MOC) Program of the Royal College of Physicians and Surgeons of Canada, and approved by Royal College Continuing Professional Development Unit. You may claim up to 30 minutes of MOC Section 3 credits. Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™.

Through an agreement between the Royal College of Physicians and Surgeons of Canada and the Qatar Council for Healthcare Practitioners, healthcare practitioners participating in the QCHP CME/CPD program may record MOC Section 3 credits as QCHP Category 3 credits.

Please note that the SAP activity ID number for the ERAS colorectal course is: 15835.

Time Commitment

Approximately 30 minutes to complete. The case provides a certificate of MOC section 3 completion for the time alotted.

Please note that this course is now accredited until September 30, 2026.

System Requirements

We have tested the learning environment and cases to function properly on the most up to date version of Chrome, Firefox, Safari and Edge on  desktop  and tablet  devices. Tablet devices should have a minimum resolution of 2048 x 1536. While the activity may work properly on other systems not described above we cannot guarantee full functionality.

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