Table 1.
Stage | Detailed information of ERAS |
---|---|
Preoperative | Detailed preoperative counseling |
Nonroutine bowel preparation | |
Avoidance of prolonged fasting | |
Clear liquids allowed until 2 hours before operation; | |
Preoperative carbohydrate loading: 5 mL/kg; | |
Breast milk completed 4 hours before operation; | |
Formula milk or general diet completed 6 hours before operation. | |
Intraoperative | Minimally invasive surgery |
Nonroutine use of surgical drains and tubes | |
Maintenance of normothermia | |
Maintenance of near-zero fluid balance: limit crystalloids to 3–5 mL/kg/h | |
Postoperative | Early mobilization and oral nutrition were started 2 hours postoperatively |
Oral intake starting with clear liquids in the PACU and advancement to regular diet | |
Maintenance of near-zero fluid balance | |
Early removal of nasogastric tubes and urinary tubes (≤24 hours) | |
Stop intravenous nutrition as soon as possible |
ERAS, enhanced recovery after surgery; PACU, post-anesthesia care unit