Table 1.
ERAS pathway | Traditional pathway |
---|---|
Preoperative interventions | |
Joint function exercise 4 weeks | No joint function exercise |
Lung function exercise | No lung function exercise |
Oral multimodal analgesia | No oral multimodal analgesia |
Preoperative oral carbohydrate loading | No preoperative oral carbohydrate loading |
Clear oral fluids up to 2 h before surgery | Clear oral fluids up to 6 h before surgery |
Intraoperative interventions | |
Spinal (preferred) or general anesthetic | General anesthetic |
Intravenous dexamethasone | No intravenous dexamethasone |
Tranexamic acid | No tranexamic acid |
Controlled blood pressure | No controlled blood pressure |
Intraoperative avoidance of excessive intravenous fluids | No intraoperative avoidance of excessive intravenous fluids |
Active intraoperative warming | No active intraoperative warming |
“Cocktail” therapy | No “cocktail” therapy |
Postoperative interventions | |
Multimodal oral analgesia | No multimodal oral analgesia |
Early initiation of oral intake | No early initiation of oral intake |
Mobilization within 24 h | Mobilization on postoperative day 1 |
ERAS, enhanced recovery after surgery.