Table 2.
Pre-operative recommendations.
| Pre-operative | ERAS society | Collaborations | Expert opinions | Published studies | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Recommendation | Gyn Onc (30) | Urology – radical cystectomy (8) | PelvEx Guidelines (2) | Anesthesia Guidelines (43) | PelvEx Delphi (44) | TME protocol (45) | Harji et al (13) | Wan et al (47) | Huepenbecker et al. (12) | Nordkamp et al. (46) |
| Crossmatch for blood | X 2u RBCs, with more available |
X | X 2u RBCs, with more available |
|||||||
| Oral carbohydrate loading | X | X | X | X | ||||||
| Bowel Preparation | AVOID | X, If LAR | AVOID | X, If LAR | ||||||
| Fasting | X, 2 hours clears 6 hours solids |
X, 2 hours clears 6 hours solids |
X, No solids after midnight, clears 2 hours | |||||||
| SDD | X | X | ||||||||
| Abx ppx | X | X | X, cefazolin | X | X | |||||
| SQH for VTE ppx | X | X | ||||||||
| PONV ppx | X, Dexamethasone and granisetron | X | X | |||||||
| Preop pain meds | X, tramadol, pregabalin, celecoxib, acetaminophen | |||||||||
ERAS indicates Enhanced Recovery After Surgery; Gyn Onc, gynecology oncology; TME, total mesorectal excision; GI, gastrointestinal; SDD, selective digestive decontamination; Abx, antibiotics; ppx, prophylaxis; SQH, subcutaneous heparin; VTE, venous thromboembolism; PONV, postoperative nausea and vomiting; u, units; RBC, red blood cells; LAR, low anterior resection.