Table 3.
ERAS protocols implemented in eligible RCTs
ERAS elements | Eligible RCTs
|
||||||
---|---|---|---|---|---|---|---|
Dong et al18 | Huang et al19 | Lai et al20 | Licker et al21 | Muehling et al22 | Sokouti et al23 | Zhao et al24 | |
Preoperative interventions | |||||||
Patient education/counseling | ✓ | ✓ | ✓ | ✓ | |||
Shortened fasting | ✓ | ✓ | ✓ | ||||
Prophylactic antibiotics | ✓ | ✓ | |||||
Respiratory drug intervention | ✓ | ||||||
Intensive pulmonary physiologic therapy | ✓ | ✓ | ✓ | ✓ | |||
Physical muscle exercise training | ✓ | ✓ | ✓ | ||||
Cardiopulmonary exercise testing | ✓ | ✓ | |||||
Optimized diets | ✓ | ✓ | |||||
Intraoperative interventions | |||||||
Epidural anesthesia/analgesia | ✓ | ✓ | ✓ | ||||
Primary/modified fissureless surgical techniques | ✓ | ||||||
Protective lung ventilation | ✓ | ||||||
Single chest tube placement | |||||||
Prevention of hypothermia | ✓ | ✓ | ✓ | ||||
Postoperative interventions | |||||||
Epidural analgesia/nonsteroidal analgesic painkillers | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Measures to promote bowel movements | ✓ | ||||||
Optimized chest tube management | ✓ | ✓ | |||||
Intravenous fluid restriction | ✓ | ✓ | ✓ | ✓ | |||
Early removal of epidural catheter | |||||||
Early removal of urinary catheter | ✓ | ✓ | |||||
Early oral feeding | ✓ | ✓ | ✓ | ✓ | |||
Early ambulation | ✓ | ✓ | ✓ | ✓ |
Abbreviation: ERAS, enhanced recovery after surgery; RCT, randomized controlled trial.