Table 1.

Table to demonstrate the components included in the CB and those which were not chosen by the Delphi consensus

	Pre-operative	Intra-operative	Post-operative
In the care bundle	• Supervised exercise programme • Inspiratory muscle training (*)	• Low tidal volume ventilation (**) with individualised PEEP • Use of routine monitoring to avoid hyperoxia • Limit NM blockade	• Deep breathing exercises • Mandatory elevation of the head of the bed
Not in the care bundle	• Oropharyngeal decontamination • Oral care package • Chlorhexidine mouthwash or other selective oral decontamination • Selective digestive decontamination • Incentive spirometry • Deep breathing exercises • Daily pedometer targets	• Recruitment manoeuvres • Routine use of high levels of PEEP • Use of endotracheal tubes with specific design features, including subglottic secretion drainage • Specific drugs or techniques to limit residual neuromuscular blockade	• Prophylactic ventilator support including CPAP, NIV or high-flow nasal oxygen • Pharmacological therapies that aim to decrease gastro-oesophageal reflux

A recommendation with (^*) moderate quality or (^**) strong quality evidence using GRADE or Jadad criteria