Preoperative |
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1. PAC patient education |
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1. PAC shared decision-making |
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1. PAC nutrition |
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1. PAC medical optimization |
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2. Fluid and carb loading |
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3. No prolonged fasting |
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4. No/selective bowel prep |
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5. Antibiotic prophylaxis |
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Intraoperative |
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6. Thromboprophylaxis |
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7. No premedication |
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8. Nausea and vomiting prophylaxis |
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9. Short-acting anaesthetic agents |
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10. No drains |
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11. Avoidance of salt and water overload |
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12. Maintenance of normothermia |
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Postoperative |
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13. Mid-thoracic epidural anesthesia/analgesic |
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14. No nasogastric tubes |
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15. Prevention of nausea and vomiting |
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16. Avoidance of salt and water load |
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17. Early removal of catheter |
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18. Early oral nutrition |
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19. Non-opioid oral analgesia/NSAIDs |
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20. Early mobilization |
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21. Stimulation of gut motility |
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22. Audit of compliance and outcomes |
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Not applicable |
|