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. 2014 Jul 10;4(7):e005330. doi: 10.1136/bmjopen-2014-005330

Table 1.

Enhanced recovery elements in liver and pancreatic resectional surgery

Liver resection Pancreatic resection
Preoperatively Information given to patient and patient education
No premedication
Information given to patient and patient education
No premedication
Day 0 Normothermia during surgery
Mechanical prophylaxis for deep vein thrombosis
Intraoperative prophylactic antibiotics
No nasogastric tube
No routine abdominal drain
Normothermia during surgery
Mechanical prophylaxis for deep vein thrombosis
Intraoperative prophylactic antibiotics
Routine nasogastric and abdominal drain only for Whipple's operation
Day 1 Patient-controlled morphine analgesia
Oral fluid
Moving patient to chair
Patient-controlled morphine analgesia
Oral fluid
Moving patient to chair
Day 2 Fluid diet
Enhanced mobilisation
Removal of urinary catheter
Enhanced mobilisation
Day 3 Soft diet
Removal of drain
Removal of urinary catheter
Removal of nasogastric tube if draining <300 mL
Day 4 Normal diet Fluid diet
Removal of drain
Day 5 Discharge if no fever, pain can be controlled with oral analgesics and patient has adequate mobilisation Soft diet
Day 6 Normal diet
Day 7 Discharge if no fever, pain can be controlled with oral analgesics and patient has adequate mobilisation